Organization
NEISH INSTITUTE LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. DIANE M GAGE (CEO)
(316) 722-8888
Entity
Organization
Contact information
Practice address
3460 N RIDGE RD, SUITE 80, WICHITA, KS 67205-1222
(316) 722-8888
(316) 722-8881
Mailing address
3460 N RIDGE RD, SUITE 80, WICHITA, KS 67205-1222
(316) 722-8888
(316) 722-8881
Taxonomy
Speciality
Code
Description
License number
State
261QP2000X
Physical Therapy Clinic/Center
Primary
11-02679
KS
Other
Enumeration date
12/20/2010
Last updated
12/20/2010
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