Individual
MARY DENISE CLANTON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PTA
Contact information
Practice address
9700 W 62ND ST, SHAWNEE, KS 66203-3220
(913) 384-0800
Mailing address
14875 S SUMMIT ST, OLATHE, KS 66062-3328
(913) 244-5020
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
14-01813
KS
Other
Enumeration date
09/13/2017
Last updated
09/13/2017
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