Organization
IN CONTROL PHYSICAL THERAPY LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. KRISTEN P FIELDS DPT (OWNER)
(620) 218-5193
Entity
Organization
Contact information
Practice address
5002 E CENTRAL AVE STE B, WICHITA, KS 67208-4167
(316) 691-8885
(316) 691-8866
Mailing address
308 S BELMONT ST, WICHITA, KS 67218-1306
(620) 218-5193
(316) 691-8866
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
11-03839
KS
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
20109034
—
KS
Enumeration date
09/20/2017
Last updated
09/20/2017
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