Brooke Nicole Panning
Individual provider Active NPI Physical Therapy Assistant · Ellinwood, KS
NPI 1336786359 · NPPES record last updated Dec 9, 2019
Key facts
- NPI
- 1336786359
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Physical Therapy Assistant 225200000X
- Practice address
- 510 W 7TH St
Ellinwood, KS 67526-1101 - Phone
- (620) 564-2337
- NPI assigned
- Dec 9, 2019
- 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
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapy Assistant |
225200000X | Yes |
Addresses
Primary practice location
510 W 7TH St
Ellinwood, KS 67526-1101
Mailing address
733 SE 50 Rd
Ellinwood, KS 67526-9241
Phone (620) 617-0937
Other providers in Ellinwood, KS
- Josh Nicholas Komarek
- Audrey Kim Lewis
- Allison Louise McAtee
- Troy Lance Moore
- Jessica Mulch
- Rebecca L Rebel
- Red Haus Pharmacy LLC
- Chris Paul Robl
- David W Sanger
- Brianna Leigh Saryerwinnie
All providers in Ellinwood, 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 Dec 9, 2019. 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.