Individual
CARRIE RONNETTE HILDEBRAND
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
P.T.
Contact information
Practice address
2817 9TH ST, GREAT BEND, KS 67530-4809
(620) 282-4825
(620) 205-1206
Mailing address
2817 9TH ST, GREAT BEND, KS 67530-4809
(620) 282-4825
(620) 205-1206
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
11-02642
KS
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
100643470B
—
KS
Enumeration date
09/05/2006
Last updated
11/22/2024
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