Individual
DEREK PORTING
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
2040 HUTTON RD STE 104, KANSAS CITY, KS 66109-4566
(913) 725-8340
Mailing address
200 W DOUGLAS AVE STE 250, WICHITA, KS 67202-3002
(316) 263-0003
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
1404119
KS
225200000X
Physical Therapy Assistant
T-05910
KS
Other
Enumeration date
06/19/2023
Last updated
07/27/2023
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