Individual
RAYNA CREACH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
1293 JACKSON RD, POMONA, KS 66076-9144
(316) 200-4405
Mailing address
1293 JACKSON RD, POMONA, KS 66076-9144
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
14-00399
KS
Other
Enumeration date
12/31/2014
Last updated
12/31/2014
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