Individual
BENJAMIN T MCLANE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DPT
Contact information
Practice address
15455 S ROGERS RD, OLATHE, KS 66062-3497
(913) 254-0568
(913) 254-0854
Mailing address
PO BOX 219297, KANSAS CITY, MO 64121-9297
(913) 254-0568
(913) 254-0854
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
11-05378
KS
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
11-05378
PT LICENSE
KS
Enumeration date
06/07/2016
Last updated
06/07/2016
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