Individual
TAYLOR R DEWEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DPT
Contact information
Practice address
1443 N RIDGE RD, WICHITA, KS 67212-2995
(168) 667-0673
(844) 788-4005
Mailing address
1443 N RIDGE RD, WICHITA, KS 67212-2995
(316) 866-7067
(844) 788-4005
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
T05509
KS
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
11-06866
STATE LICENSE
KS
Enumeration date
06/16/2021
Last updated
09/23/2021
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