Pamela Sue Ysusi
Individual provider Active NPI Physical Therapist · Neodesha, KS
NPI 1235965690 · NPPES record last updated Sep 12, 2024
Key facts
- NPI
- 1235965690
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Physical Therapist 225100000X
- License
- 11-00933 (KS)
- Practice address
- 602 Main St
Neodesha, KS 66757-1633 - Phone
- (620) 325-2117
- Fax
- (620) 325-3657
- NPI assigned
- Sep 12, 2024
- 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 |
|---|---|---|---|
| 11-00933 | KS | MD | Physical Therapist |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapist | 225100000X | 11-00933 | KS | Yes |
Addresses
Primary practice location
602 Main St
Neodesha, KS 66757-1633
Mailing address
602 Main St
Neodesha, KS 66757-1633
Phone (620) 325-2117
Other providers in Neodesha, KS
- Willow Tree, LLC
- Wilson County Hospital
- Wilson County Hospital
- Wilson County Hospital
- Wilson County Hospital
All providers in Neodesha, KS · Physical Therapist in Kansas
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Sep 12, 2024. 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.