Organization
DYNATEST INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
SANDY ESTALA (INSURANCE AND BILLING SPECIALIST)
(620) 626-5373
Entity
Organization
Contact information
Practice address
118 S MAIN ST, ULYSSES, KS 67880-2518
(620) 356-3333
(620) 356-3338
Mailing address
118 S MAIN ST, ULYSSES, KS 67880-2518
(620) 356-3333
(620) 356-3338
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
11-01294
KS
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
100211090B
—
KS
Enumeration date
03/19/2007
Last updated
10/14/2024
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