Individual
JODI RENEE RUNGE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DPT, ATC
Contact information
Practice address
816 OAK ST, NEWTON, KS 67114-1813
(316) 284-6510
(316) 284-6513
Mailing address
3231 S HILLSIDE RD, NEWTON, KS 67114-9332
(316) 772-8638
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
11-04113
KS
2255A2300X
Athletic Trainer
24-00586
KS
Other
Enumeration date
10/18/2010
Last updated
10/18/2010
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