Individual
JANA L GOOLSBY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PTA
Contact information
Practice address
7931 BOND ST, LENEXA, KS 66214-1557
(913) 754-0888
Mailing address
7931 BOND ST, LENEXA, KS 66214-1557
(913) 754-0888
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
1401368
KS
Other
Enumeration date
08/12/2006
Last updated
07/08/2007
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