Individual
MS. ANDREA MARIE DAVIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MSPT
Contact information
Practice address
1909 N 14TH AVE, DODGE CITY, KS 67801-2364
(620) 338-8633
Mailing address
2419 HART AVE, DODGE CITY, KS 67801-2407
(317) 413-8978
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
05008025A
IN
2251X0800X
Orthopedic Physical Therapist
Primary
11-04520
KS
2251X0800X
Orthopedic Physical Therapist
1176298
TX
Other
Enumeration date
05/21/2007
Last updated
04/02/2013
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