Individual
LATEASHA BREON BARNES
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1315 N WEST ST, WICHITA, KS 67203-1382
(316) 943-1295
Mailing address
1315 N WEST ST, WICHITA, KS 67203-1382
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
14-01991
KS
225200000X
Physical Therapy Assistant
1401991
KS
Other
Enumeration date
07/27/2018
Last updated
07/27/2018
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