Individual
MRS. JACKIE F REDING
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PTA
Contact information
Practice address
1626 N 8TH ST, NEODESHA, KS 66757-1239
(620) 330-0054
Mailing address
1626 N 8TH ST, NEODESHA, KS 66757-1239
(620) 330-0054
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
1400789
KS
Other
Enumeration date
01/07/2013
Last updated
01/07/2013
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