Individual
MR. CASEY SEAN TAJCHMAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
RPT
Contact information
Practice address
551 NORTH HILLSIDE, WICHITA, KS 67214-4976
(316) 962-8046
Mailing address
758 N REDBARN LN, WICHITA, KS 67212-3685
(316) 962-8046
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
11-02993
KS
Other
Enumeration date
08/19/2011
Last updated
08/19/2011
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