Individual
MR. BRETT CHARLES DOCKTER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PTA
Contact information
Practice address
10100 E SHANNON WOODS CIR, WICHITA, KS 67226-4104
(316) 462-7450
Mailing address
6205 S KANSAS RD, NEWTON, KS 67114-8784
(316) 617-6694
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
14-04167
KS
Other
Enumeration date
03/04/2024
Last updated
03/04/2024
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