Individual
CASSIDY RANDLEAS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LMT
Contact information
Practice address
10523 E 21ST ST N STE 4, WICHITA, KS 67206-3582
(785) 764-2366
Mailing address
4520 E DOUGLAS AVE, WICHITA, KS 67208-3929
(785) 764-2366
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
2021-46215
KS
Other
Enumeration date
05/05/2020
Last updated
05/05/2020
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