Individual
MRS. JOY ANN ISMERT
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
621 W 21ST ST, ANDOVER, KS 67002-8498
(316) 733-1349
Mailing address
254 COURTLEIGH ST, WICHITA, KS 67218-1712
(316) 260-1584
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
14-01012
KS
Other
Enumeration date
05/16/2007
Last updated
07/08/2007
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