Individual
JEFFREY S WYSSENBACH
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PT
Contact information
Practice address
5111 E 21ST ST N, WICHITA, KS 67208-1606
(316) 688-1888
(316) 652-1542
Mailing address
5111 E 21ST ST N, WICHITA, KS 67208-1606
(316) 688-1888
(316) 652-1542
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
1103890
KS
Other
Enumeration date
12/03/2024
Last updated
06/17/2025
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