Individual
TREVOR AUSTIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PTA
Contact information
Practice address
109 S NEOSHO ST, CHERRYVALE, KS 67335-2002
(620) 702-6110
Mailing address
1600 DEWEY ST, CHERRYVALE, KS 67335-4816
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
1402755
KS
Other
Enumeration date
09/04/2014
Last updated
09/04/2014
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