Individual
BREANN NYCOLE TITUS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PTA
Contact information
Practice address
2114 N 127TH CT E, WICHITA, KS 67206-3003
(316) 500-8800
Mailing address
1850 S SEDGWICK ST, WICHITA, KS 67213-2884
(316) 670-0312
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
14-03636
KS
Other
Enumeration date
07/12/2023
Last updated
07/12/2023
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