Individual
STEPHANIE A HERTEL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PTA
Contact information
Practice address
2200 SUMMERLON CIR STE D, DODGE CITY, KS 67801-2905
(620) 225-4139
Mailing address
802 CLARK AVE, DODGE CITY, KS 67801-5813
(620) 253-2419
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
1401763
KS
Other
Enumeration date
02/02/2009
Last updated
02/28/2013
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