Individual
EDWARD THOMAS ERNST JR.
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PTA
Contact information
Practice address
2121 MEADOWLARK RD, MANHATTAN, KS 66502-4521
(909) 576-9180
Mailing address
3909 BAYSIDE WAY APT 201, MANHATTAN, KS 66502-7259
(909) 576-9180
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
14-03677
KS
225200000X
Physical Therapy Assistant
A-1181
NV
Other
Enumeration date
04/30/2020
Last updated
04/30/2020
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