Individual
TRINA ANN HERTEL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PTA
Contact information
Practice address
6505 E 37TH ST N, WICHITA, KS 67226-3232
(316) 854-2330
Mailing address
6400 GLENWOOD ST, SUITE 111, OVERLAND PARK, KS 66202-4028
(913) 831-2721
(913) 384-0127
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
14-02960
KS
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
14-02960
KS STATE LICENSE
KS
Enumeration date
09/28/2015
Last updated
10/19/2015
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