Individual
DENISE CATHERINE WELLS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PTA
Contact information
Practice address
108 N WALNUT ST, INMAN, KS 67546-8016
(620) 585-6411
Mailing address
4706 1/2 SCOTTY LN, HUTCHINSON, KS 67502-1728
(620) 664-4291
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
1402376
KS
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1402376
KANSAS BOARD OF HEALING ARTS
KS
Enumeration date
11/08/2013
Last updated
11/08/2013
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