Individual
MR. TROY DANIEL BLASI
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
CPTA
Contact information
Practice address
622 N EDGEMOOR ST, WICHITA, KS 67208-3602
(316) 686-5100
Mailing address
622 N EDGEMOOR ST, WICHITA, KS 67208-3602
(316) 686-5100
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
14-01341
KS
Other
Enumeration date
01/09/2012
Last updated
01/09/2012
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