Individual
DANIEL RUNYAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
RPT
Contact information
Practice address
1551 N ROCK RD, WICHITA, KS 67206-1255
(316) 858-1885
(316) 858-1892
Mailing address
7703 HARMONY ST, WICHITA, KS 67209-2054
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
1101807
KS
Other
Enumeration date
02/23/2007
Last updated
07/08/2007
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