Kelli Ingmire
Individual provider Active NPI Physical Therapy Assistant · Gardner, KS
NPI 1306045828 · NPPES record last updated Jul 13, 2007
Key facts
- NPI
- 1306045828
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Physical Therapy Assistant 225200000X
- License
- T01260 (KS)
- Practice address
- 223 Bedford St
Gardner, KS 66030-1185 - Phone
- (615) 896-6400
- NPI assigned
- Jul 13, 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
| License | State | Type | Specialty |
|---|---|---|---|
| T01260 | KS | MD | Physical Therapy Assistant |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapy Assistant | 225200000X | T01260 | KS | Yes |
Addresses
Primary practice location
223 Bedford St
Gardner, KS 66030-1185
Mailing address
3453 SW Burlingame Rd
Topeka, KS 66611-4017
Phone (785) 845-4415
Other providers in Gardner, KS
- Amanda Kristine Hogg
- Hannah Holmes
- Homestead of Gardner Operations, LLC
- Julia E. Humphries
- Karrisa Dyan Hutsell
- Tomira Lashauna Jefferson
- Jeurink Family Chiropractic and Wellness Center, LLC
- Tobi Jeurink
- Kansas CVS Pharmacy, L.L.C
- Lenzi R Kaub
All providers in Gardner, 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 13, 2007. 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.