Individual
TREVOR BENJAMIN LOWE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PTA
Contact information
Practice address
1156 K-14, ELLSWORTH, KS 67439
(785) 472-3167
Mailing address
2304 HEIZER ST, GREAT BEND, KS 67530-2635
(785) 302-0111
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
14-03544
KS
Other
Enumeration date
12/10/2020
Last updated
12/10/2020
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