Individual
ASHLEY WIESNER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
4400 W 115TH ST, LEAWOOD, KS 66211-2684
(913) 491-3681
Mailing address
11528 RILEY ST, OVERLAND PARK, KS 66210-2245
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
11-05105
KS
225100000X
Physical Therapist
2014027201
MO
Other
Enumeration date
01/28/2015
Last updated
11/10/2020
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