Individual
KATIE BOEDEKER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DPT
Contact information
Practice address
5500 E KELLOGG DR, WICHITA, KS 67218-1607
(316) 685-2221
Mailing address
820 N STRATFORD LN, WICHITA, KS 67206-1457
(509) 953-5795
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
11-06660
KS
Other
Enumeration date
12/06/2021
Last updated
12/06/2021
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