Organization
INSTITUTE OF REHAB HEALTH AND FITNE
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. SHELLEY LEWIS PT (OWNER PHYSICAL THERAPIST)
(913) 681-0606
Entity
Organization
Contact information
Practice address
7213 W 161ST ST, STILWELL, KS 66085-8879
(913) 681-0606
(913) 681-0605
Mailing address
7213 W 161ST ST, STILWELL, KS 66085-8879
(913) 681-0606
(913) 681-0605
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
—
KS
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
33465011
BLUE CROSS BLUE SHIELD KC
KS
Enumeration date
03/29/2007
Last updated
08/22/2020
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