Casondra Lynn Frey
Individual provider Active NPI Physical Therapy Assistant · Oakley, KS
NPI 1093087652 · NPPES record last updated Jan 29, 2012
Key facts
- NPI
- 1093087652
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Physical Therapy Assistant 225200000X
- License
- 14-02222 (KS)
- Practice address
- 414 Freeman Ave
Oakley, KS 67748-1920 - Phone
- (308) 293-3301
- NPI assigned
- Jan 29, 2012
- Sex
- Female
- Sole proprietor
- Yes
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 14-02222 | KS | MD | Physical Therapy Assistant |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapy Assistant | 225200000X | 14-02222 | KS | Yes |
Addresses
Primary practice location
414 Freeman Ave
Oakley, KS 67748-1920
Mailing address
414 Freeman Ave
Oakley, KS 67748-1920
Phone (308) 293-3301
Other providers in Oakley, KS
- County of Logan
- County of Logan
- Rick R. Deines
- Misty L Finlay
- Lynelle A Fossum
- Steven Lee Golden
- John Joseph Herscher
- Kyle Lacy Hodges
- Randi K Holzmeister
- Jonna K Inman
All providers in Oakley, KS · Physical Therapy Assistant in Kansas
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jan 29, 2012. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.