Organization
STRETCH LIFE, LLC
Active
Organization
STRETCH LIFE, LLC
Active
Other names
Stretch Life
Organization subpart
No
Provider details
NPI number
Authorized official
ELIZABETH FAWSON (OWNER)
(316) 765-2001
Entity
Organization
Contact information
Practice address
10310 E ST N STE 100, WICHITA, KS 67206
(316) 202-1836
Mailing address
15015 W MAPLE ST, WICHITA, KS 67235-8708
(316) 765-2001
Taxonomy
Speciality
Code
Description
License number
State
261QC1500X
Community Health Clinic/Center
Primary
—
—
Other
Enumeration date
08/28/2025
Last updated
08/28/2025
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