Individual
SHAWN CHEREE THOMPSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PTA
Contact information
Practice address
9229 E 37TH ST N STE 201, WICHITA, KS 67226-2003
(316) 655-3403
(316) 267-8191
Mailing address
9229 E 37TH ST N STE 201, WICHITA, KS 67226-2003
(316) 655-3403
(316) 267-8191
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
14-03776
KS
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
14-03776
KANSAS STATE LICENSE
KS
Enumeration date
10/29/2020
Last updated
10/29/2020
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