Individual
H. MARCUS NEEDHAM
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MPT
Contact information
Practice address
9300 E 29TH ST N, STE 205, WICHITA, KS 67226-2182
(316) 219-8299
(316) 219-5899
Mailing address
9300 E 29TH ST N, SUITE 205, WICHITA, KS 67226-2182
(316) 219-8299
(316) 219-5899
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
11-02111
KS
225100000X
Physical Therapist
—
KS
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
11-02111
STATE LISCENCE NUMBER
KS
Enumeration date
02/20/2006
Last updated
03/12/2014
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