Individual
NATALIE LONGNECKER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PTA
Contact information
Practice address
2160 ZINNIA LN, LIBERAL, KS 67901-2042
(620) 624-3831
Mailing address
1240 N NEW YORK AVE APT 109, LIBERAL, KS 67901-2711
(620) 621-6285
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
14-03445
KS
Other
Enumeration date
03/23/2022
Last updated
03/23/2022
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