Individual
AMY MCNULTY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PTA
Contact information
Practice address
700 OREGON ST, HIAWATHA, KS 66434-2232
(785) 742-7606
(785) 742-4490
Mailing address
700 OREGON ST, HIAWATHA, KS 66434-2232
(785) 742-7606
(785) 742-4490
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
14-02106
KS
Other
Enumeration date
07/28/2010
Last updated
09/22/2010
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