Individual
MRS. JILL R COUCHMAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PT
Contact information
Practice address
701 S MAIN ST, HESSTON, KS 67062-8974
(620) 327-3482
Mailing address
600 MEDICAL CENTER DR, NEWTON, KS 67114-8780
(316) 804-6080
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
11-01986
KS
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
11-01986
PHYSICAL THERAPIST
KS
Enumeration date
08/18/2005
Last updated
07/08/2007
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