Individual
MR. JASON LYLE KONRADE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
P.T.
Contact information
Practice address
2917 W HWY 50, EMPORIA, KS 66801
(620) 343-9900
(620) 343-9904
Mailing address
1106 21000 RD, PARSONS, KS 67357-8265
(620) 421-4949
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
11-02202
KS
Other
Enumeration date
05/23/2007
Last updated
08/02/2007
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