Individual
KAITLIN FARLEY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PT, DPT
Contact information
Practice address
8340 MISSION RD STE 103, PRAIRIE VILLAGE, KS 66206-1362
(913) 213-3531
(402) 280-2210
Mailing address
15107 W 83RD TER, LENEXA, KS 66219-1545
(913) 488-0244
(816) 222-0679
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
11-05444
KS
225100000X
Physical Therapist
3499
NE
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
11-05444
STATE BOARD OF HEALING ARTS
KS
Enumeration date
08/03/2015
Last updated
02/19/2021
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