Organization
INDUSTRIAL AND SPORTS REHAB, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
KELLY SAMPSON (ADMINISTRATIVE MANAGER)
(316) 946-0086
Entity
Organization
Contact information
Practice address
4415 W ZOO BLVD, WICHITA, KS 67212-1601
(316) 943-6282
(316) 943-6189
Mailing address
4415 W ZOO BLVD, WICHITA, KS 67212-1601
(316) 943-6282
(316) 943-6189
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
—
—
Other
Enumeration date
02/27/2007
Last updated
08/22/2020
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