Individual
JENNIFER L TENNIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
P.T.A.
Contact information
Practice address
21250 W 151ST ST, OLATHE, KS 66061-8100
(913) 390-0444
Mailing address
1511 PARKER AVE, OSAWATOMIE, KS 66064-1701
(913) 731-2139
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
14-01406
KS
Other
Enumeration date
10/25/2006
Last updated
12/20/2016
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