Individual
MRS. TERRI BOCKHAUS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
CPTA
Contact information
Practice address
408 E. MAIN ST., GOESSEL, KS 67053
(620) 367-2291
Mailing address
625 N MERIDIAN RD, NEWTON, KS 67114-5106
(316) 283-6701
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
14-01480
KS
Other
Enumeration date
06/22/2007
Last updated
07/08/2007
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