Individual
JONATHAN Y HARRIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PT
Contact information
Practice address
2146 N COLLECTIVE LN STE 114, WICHITA, KS 67206-3574
(316) 358-9942
(316) 358-0458
Mailing address
2146 N COLLECTIVE LN STE 114, WICHITA, KS 67206-3574
(316) 358-9942
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
1103557
KS
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
200376290A
—
KS
Enumeration date
07/21/2006
Last updated
07/28/2021
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