Individual
SEAN C WITHERSPOON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
4515 E CENTRAL AVE STE A, WICHITA, KS 67208-3915
(316) 260-6869
(316) 260-6872
Mailing address
200 W DOUGLAS AVE STE 1040, WICHITA, KS 67202-3017
(316) 263-0003
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
1403260
KS
Other
Enumeration date
08/18/2017
Last updated
08/18/2017
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