Individual
JAQUELINE WESLEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
223 BEDFORD ST, GARDNER, KS 66030-1185
(615) 896-6400
Mailing address
10253 REEDER ST, OVERLAND PARK, KS 66214-2613
(913) 894-5327
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
11-02413
KS
Other
Enumeration date
06/16/2007
Last updated
07/08/2007
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