Individual
STEPHANIE S. MATHIS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
R.P.T.
Contact information
Practice address
14104 GILLETTE ST, OVERLAND PARK, KS 66221-2848
(913) 449-0178
Mailing address
PO BOX 4103, OVERLAND PARK, KS 66204-0103
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
1103592
KS
Other
Enumeration date
12/01/2010
Last updated
12/01/2010
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