Tonya Bolte, PTA

Individual provider Active NPI Physical Therapy Assistant · Kansas City, KS

NPI 1124247895 · NPPES record last updated Jul 8, 2007

Key facts

NPI
1124247895
Entity type
Individual (NPI type 1)
Primary specialty
Physical Therapy Assistant 225200000X
License
1401704 (KS)
Practice address
6500 Greeley Ave
Kansas City, KS 66104-2647
Phone
(913) 334-0200
NPI assigned
Apr 24, 2007
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
1401704KSMDPhysical Therapy Assistant

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapy Assistant 225200000X 1401704 KS Yes

Addresses

Primary practice location

6500 Greeley Ave
Kansas City, KS 66104-2647

Mailing address

4701 Melody LN
Kansas City, KS 66106-3535
Phone (785) 633-0013

Other providers in Kansas City, KS

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

Sources for this page

Verify at the official NPI Registry.