Rebecca R Edson, RPT
Individual provider Active NPI Physical Therapist · Eureka, KS
NPI 1154591774 · NPPES record last updated Mar 11, 2008
Key facts
- NPI
- 1154591774
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Physical Therapist 225100000X
- License
- 1102690 (KS)
- Practice address
- 1020 N School St
Eureka, KS 67045-1106 - Phone
- (316) 541-2219
- NPI assigned
- Mar 11, 2008
- 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
| License | State | Type | Specialty |
|---|---|---|---|
| 1102690 | KS | MD | Physical Therapist |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapist | 225100000X | 1102690 | KS | Yes |
Addresses
Primary practice location
1020 N School St
Eureka, KS 67045-1106
Mailing address
9689 SW 30TH St
Towanda, KS 67144-9025
Other providers in Eureka, KS
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Mar 11, 2008. 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.