Individual
ANNETTE STUCKY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RPT
Contact information
Practice address
2311 S KANSAS RD, NEWTON, KS 67114-9032
(316) 283-7187
(316) 283-7189
Mailing address
200 W DOUGLAS, STE 1040, WICHITA, KS 67202-3017
(316) 263-0003
(316) 263-1241
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
11-01068
KS
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
200270060B
—
KS
05
—
200270060D
—
KS
01
—
P00385864
RAILROAD MEDICARE
KS
Enumeration date
02/20/2006
Last updated
02/17/2009
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