Individual
ELESA VEATCH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
2828 N GOVERNEOUR ST, WICHITA, KS 67226-1700
(316) 636-1111
Mailing address
1705 CANDACE LN, EL DORADO, KS 67042-4918
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
—
—
Other
Enumeration date
06/25/2019
Last updated
06/25/2019
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