Individual
ASHLEY NEIDERT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PT
Contact information
Practice address
1923 N WEBB RD, WICHITA, KS 67206-3405
(316) 630-9300
(316) 262-4887
Mailing address
301 S MERIDIAN AVE RM 113, WICHITA, KS 67213-2629
(316) 655-3403
(316) 267-8191
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
PENDING
KS STATE BOARD OF HEALING ARTS
KS
Enumeration date
05/19/2020
Last updated
10/01/2021
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