Individual
MYKELA DANAE RIEDL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DPT
Contact information
Practice address
1514 K 96 HWY, GREAT BEND, KS 67530-3012
(620) 792-4383
(620) 792-2169
Mailing address
1514 K 96 HWY, GREAT BEND, KS 67530-3012
(620) 603-4659
(620) 792-2169
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
11-06498
KS
Other
Enumeration date
07/14/2020
Last updated
04/24/2025
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