Individual
SAMANTHA MARIE WYATT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PTA
Contact information
Practice address
2243 S MERIDIAN AVE STE 105, WICHITA, KS 67213-1911
(316) 942-5448
(316) 945-5694
Mailing address
200 W DOUGLAS AVE STE 250, WICHITA, KS 67202-3002
(316) 263-0003
(316) 263-1241
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
14-03763
KS
Other
Enumeration date
02/06/2023
Last updated
02/06/2023
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