Individual
KELLY LEWIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DPT
Contact information
Practice address
712 1ST TER STE 101, LANSING, KS 66043-1735
(913) 727-2022
(913) 727-2033
Mailing address
PO BOX 803914, KANSAS CITY, MO 64180-3914
13162630003
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
1105373
KS
Other
Enumeration date
09/26/2017
Last updated
01/11/2021
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