Individual
MR. STEVEN WILSON VEQUIST
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PT
Contact information
Practice address
11120 E 26TH ST N, WICHITA, KS 67226-4548
(316) 858-1177
Mailing address
2551 N PARKDALE CT, WICHITA, KS 67205-6014
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
11-00996
KS
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
200002140A
—
KS
Enumeration date
12/07/2005
Last updated
05/09/2017
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