Individual
JANASSA SWANEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1101 SPRUCE ST, ELLIS, KS 67637-1757
(785) 726-3101
Mailing address
517 S 5TH ST, STOCKTON, KS 67669-2207
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
14-03130
KS
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
14-03103
BCBS
KS
Enumeration date
07/18/2018
Last updated
07/18/2018
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