Individual
CORY ECKERT
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
800 RAVENHILL DR, ATCHISON, KS 66002-9204
(913) 367-2131
(913) 674-2024
Mailing address
800 RAVENHILL DR, ATCHISON, KS 66002-9204
(913) 367-2131
(913) 674-2024
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
11-05184
KS
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
016289139
PTAN
KS
05
—
30005200420001
—
KS
05
—
480157224
—
MO
Enumeration date
08/10/2015
Last updated
03/11/2026
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