Individual
LARISSA NOELKER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
15220 BOND ST, OVERLAND PARK, KS 66221-8015
(913) 980-4875
Mailing address
11661 GRANADA ST, LEAWOOD, KS 66211-1473
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
11-02951
KS
Other
Enumeration date
11/16/2016
Last updated
11/16/2016
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