Individual
MICHAEL DEDONDER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PT, DPT
Contact information
Practice address
1133 COLLEGE AVE, STE G200, MANHATTAN, KS 66502-2770
(785) 539-9669
Mailing address
1133 COLLEGE AVE, STE G200, MANHATTAN, KS 66502-2770
(785) 539-9669
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
11-05206
KS
Other
Enumeration date
08/04/2015
Last updated
08/04/2015
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