Individual
AMY L CHURCH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PTA
Contact information
Practice address
1101 SPRUCE ST, ELLIS, KS 67637-1757
(615) 896-6400
Mailing address
215 W 36TH ST, HAYS, KS 67601-1650
(615) 896-6400
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
1401390
KS
Other
Enumeration date
06/09/2008
Last updated
06/09/2008
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