Individual
KIMBERLY JEAN MATHES
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
P.T.
Contact information
Practice address
10100 SHANNON WOODS, WICHITA, KS 67226
(316) 858-1900
(316) 858-1914
Mailing address
621 W 21ST ST, ANDOVER, KS 67002-8498
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
11-03265
KS
Other
Enumeration date
09/06/2007
Last updated
10/21/2010
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