Individual
LEE BRAEGER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
CPTA
Contact information
Practice address
12112 W KELLOGG ST, WICHITA, KS 67235-1100
(316) 440-1100
(316) 440-1089
Mailing address
1923 N WEBB RD, WICHITA, KS 67206-3405
(316) 262-4886
(316) 262-4887
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
14-01489
KS
Other
Enumeration date
08/23/2010
Last updated
08/23/2010
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