Individual
LARISSA M NIXON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DPT
Contact information
Practice address
712 1ST TER, STE 103, LANSING, KS 66043-1735
(913) 727-2022
(913) 727-2033
Mailing address
200 W DOUGLAS AVE, STE 1040, WICHITA, KS 67202-3013
(316) 263-0003
(316) 263-1241
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
11-04270
KS
Other
Enumeration date
07/25/2011
Last updated
03/04/2013
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