Benjamin P Fritsch, PTA

Individual provider Active NPI Physical Therapy Assistant · Hillsboro, KS

NPI 1245536754 · NPPES record last updated Jan 31, 2011

Key facts

NPI
1245536754
Entity type
Individual (NPI type 1)
Primary specialty
Physical Therapy Assistant 225200000X
License
14-02079 (KS)
Practice address
701 S Main St
Hillsboro, KS 67063-1553
Phone
(620) 947-1425
Fax
(620) 947-5690
NPI assigned
Jan 31, 2011
Sex
Male
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
14-02079KSMDPhysical Therapy Assistant

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapy Assistant 225200000X 14-02079 KS Yes

Addresses

Primary practice location

701 S Main St
Hillsboro, KS 67063-1553

Mailing address

701 S Main St
Hillsboro, KS 67063-1553
Phone (620) 947-1425

Other providers in Hillsboro, KS

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

Sources for this page

Verify at the official NPI Registry.