Organization
TINA HARRIS PHYSICAL THERAPY, P.A.
Active
Other names
Tina Harris Physical Therapy
Organization subpart
No
Provider details
NPI number
Authorized official
TINA M HARRIS P.T. (ADMINISTRATOR)
(785) 462-8008
Entity
Organization
Contact information
Practice address
270 N FRANKLIN AVE, COLBY, KS 67701-2322
(785) 462-8008
(785) 460-8080
Mailing address
270 N FRANKLIN AVE, COLBY, KS 67701-2322
(785) 462-8008
(785) 460-8080
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
11-2054
KS
225100000X
Physical Therapist
Primary
1102054
KS
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
059714
BLUE CROSS BLUE SHIELD
—
05
—
100319310A
—
KS
01
—
650005073
RAILROAD MEDICARE
KS
Enumeration date
03/20/2007
Last updated
01/21/2014
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