Organization
TRANQUILLITY PHYSICAL THERAPY INC
Active
Other names
Tranquillity Physical and Massage Therapy
Organization subpart
No
Provider details
NPI number
Authorized official
MS. LYNDA L. QASSAS (OFFICE MANAGER)
(316) 773-0909
Entity
Organization
Contact information
Practice address
940 N TYLER RD, STE. 100, WICHITA, KS 67212-3265
(316) 773-0909
(316) 773-0606
Mailing address
940 N TYLER RD, STE. 100, WICHITA, KS 67212-3265
(316) 773-0909
(316) 773-0606
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
—
KS
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
115696
BLUE CROSS BLUE SHIELD
KS
05
—
200298740A
—
KS
Enumeration date
05/25/2006
Last updated
11/27/2013
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