Individual
JEREMY STEIN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
15915 EISENHOWER RD, LEAVENWORTH, KS 66048-7364
(913) 547-2698
Mailing address
15915 EISENHOWER RD, LEAVENWORTH, KS 66048-7364
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
14-02887
KS
225200000X
Physical Therapy Assistant
2115841
TX
Other
Enumeration date
10/01/2015
Last updated
10/01/2015
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