Individual
JODEL VARNDELL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PTA
Contact information
Practice address
629 S PLUMMER AVE, CHANUTE, KS 66720-1928
(620) 432-5511
(620) 432-5511
Mailing address
629 S PLUMMER AVE, CHANUTE, KS 66720-1928
(620) 432-5511
(620) 432-5511
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
14-02636
KS
Other
Enumeration date
12/10/2014
Last updated
12/10/2014
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