Individual
JESSICA ANN PAULY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PT, DPT
Contact information
Practice address
19931 W KELLOGG DR UNIT A, GODDARD, KS 67052-8864
(316) 550-6132
(316) 550-6215
Mailing address
3400 MEADOWLARK LN, GREAT BEND, KS 67530-7541
(620) 545-5248
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
11-05885
KS
Other
Enumeration date
06/01/2018
Last updated
05/11/2023
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