Individual
KYLA DRAKE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
3940 US HIGHWAY 54, MORAN, KS 66755-3921
(620) 473-6356
Mailing address
623 N 4TH ST, IOLA, KS 66749-2523
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
14-03575
KS
Other
Enumeration date
06/30/2021
Last updated
06/30/2021
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