Organization
REHABVISIONS
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. SHAWN DEAN STOCKMAN (PHYSICAL THERAPIST ASSISTANT)
(620) 257-5173
Entity
Organization
Contact information
Practice address
619 S CLARK AVE, LYONS, KS 67554-3003
(620) 257-5173
Mailing address
507 S DOUGLAS AVE, LYONS, KS 67554-3201
(620) 257-3635
Taxonomy
Speciality
Code
Description
License number
State
282NC0060X
Critical Access Hospital
Primary
14-01142
KS
Other
Enumeration date
03/19/2007
Last updated
08/22/2020
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