Individual
EMELY WILDS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PT
Contact information
Practice address
3105 N IBP RD, HOLCOMB, KS 67851-8902
(620) 277-4379
(620) 277-4382
Mailing address
403 PARK DR, HOLCOMB, KS 67851-9608
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
11-04687
KS
Other
Enumeration date
12/28/2015
Last updated
12/28/2015
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