Kristina T Woods, CPTA
Individual provider Active NPI Physical Therapy Assistant · De Soto, KS
NPI 1225470933 · NPPES record last updated Jul 23, 2013
Key facts
- NPI
- 1225470933
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Physical Therapy Assistant 225200000X
- License
- 14-02139 (KS)
- Practice address
- 33600 W 85TH St
De Soto, KS 66018-8118 - Phone
- (913) 583-1266
- NPI assigned
- Jul 23, 2013
- 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 |
|---|---|---|---|
| 14-02139 | KS | MD | Physical Therapy Assistant |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapy Assistant | 225200000X | 14-02139 | KS | Yes |
Addresses
Primary practice location
33600 W 85TH St
De Soto, KS 66018-8118
Mailing address
621 Durham CT
Lawrence, KS 66049-1966
Other providers in De Soto, KS
All providers in De Soto, 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 Jul 23, 2013. 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.