Individual
MRS. JODI LYNNE WAYLAND
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LPTA
Contact information
Practice address
10000 W 75TH ST STE 250, MERRIAM, KS 66204-2218
(888) 913-1910
Mailing address
10000 W 75TH ST STE 250, MERRIAM, KS 66204-2218
(888) 913-1910
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
14-03046
KS
Other
Enumeration date
12/19/2016
Last updated
12/19/2016
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