Individual
BROOKE NICOLE PANNING
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
510 W 7TH ST, ELLINWOOD, KS 67526-1101
(620) 564-2337
Mailing address
733 SE 50 RD, ELLINWOOD, KS 67526-9241
(620) 617-0937
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
—
—
Other
Enumeration date
12/09/2019
Last updated
12/09/2019
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