Teri Raub, PTA

Individual provider Active NPI Physical Therapy Assistant · Abilene, KS

NPI 1003265141 · NPPES record last updated Jun 9, 2016

Key facts

NPI
1003265141
Entity type
Individual (NPI type 1)
Primary specialty
Physical Therapy Assistant 225200000X
License
14-01778 (KS)
Practice address
103 NW 15TH St
Abilene, KS 67410-1547
Phone
(785) 263-3646
Fax
(785) 263-3689
NPI assigned
Jun 9, 2016
Sex
Female
Sole proprietor
No

Medicare participation

Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

Medicare enrollment (NPD)
No

State licenses

LicenseStateTypeSpecialty
14-01778KSMDPhysical Therapy Assistant

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapy Assistant 225200000X 14-01778 KS Yes

Addresses

Primary practice location

103 NW 15TH St
Abilene, KS 67410-1547

Mailing address

103 NW 15TH St
Abilene, KS 67410-1547
Phone (785) 263-3689

Other providers in Abilene, KS

All providers in Abilene, KS · Physical Therapy Assistant in Kansas

Sources for this page

Verify at the official NPI Registry.