Individual
MALINA KIPP
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PTA
Contact information
Practice address
10600 MASTIN ST, OVERLAND PARK, KS 66212-5723
(913) 681-0606
Mailing address
10600 MASTIN ST, OVERLAND PARK, KS 66212-5723
(913) 681-0606
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
14-03472
KS
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1403472
MEDICARE
KS
Enumeration date
04/27/2021
Last updated
02/23/2022
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