Individual
DALISA RENE MAXTON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CPTA
Contact information
Practice address
631 E CRAWFORD ST STE 220, SALINA, KS 67401-5116
(785) 825-2323
(785) 825-2325
Mailing address
631 E CRAWFORD ST STE 220, SALINA, KS 67401-5116
(785) 825-2323
(785) 825-2325
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
1403299
KS
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1403299
STATE OF KANSAS LICENSE NUMBER
KS
Enumeration date
11/08/2017
Last updated
11/08/2017
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