Individual
MRS. CINDY LEE STUCKY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PTA
Contact information
Practice address
135 S CHRISTIAN AVE, MOUNDRIDGE, KS 67107-9000
(620) 345-7600
Mailing address
215 E GRANT ST, WALTON, KS 67151-9001
(620) 837-3141
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
14-01666
KS
Other
Enumeration date
01/02/2010
Last updated
01/02/2010
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