Organization
MEND PHYSIOTHERAPY LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. CAMILLE MONTAGUE SNYDER PT, DPT (MANAGING MEMBER)
(316) 687-6363
Entity
Organization
Contact information
Practice address
3700 E DOUGLAS AVE, 30, WICHITA, KS 67208-3700
(316) 687-6363
Mailing address
3700 E DOUGLAS AVE, STE 30, WICHITA, KS 67208-3700
(316) 687-6363
Taxonomy
Speciality
Code
Description
License number
State
2251G0304X
Geriatric Physical Therapist
11-02303
KS
2251X0800X
Orthopedic Physical Therapist
Primary
1102303
KS
225200000X
Physical Therapy Assistant
—
—
225400000X
Rehabilitation Practitioner
—
—
225X00000X
Occupational Therapist
—
—
235Z00000X
Speech-Language Pathologist
—
—
Other
Enumeration date
09/17/2009
Last updated
02/12/2012
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