Joy Edwinson, PTA

Individual provider Active NPI Physical Therapy Assistant · Gardner, KS

NPI 1396964797 · NPPES record last updated Jul 8, 2007

Key facts

NPI
1396964797
Entity type
Individual (NPI type 1)
Primary specialty
Physical Therapy Assistant 225200000X
License
1401596 (KS)
Practice address
223 Bedford St
Gardner, KS 66030-1185
Phone
(913) 856-6520
NPI assigned
Apr 24, 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

LicenseStateTypeSpecialty
1401596KSMDPhysical Therapy Assistant

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapy Assistant 225200000X 1401596 KS Yes

Addresses

Primary practice location

223 Bedford St
Gardner, KS 66030-1185

Mailing address

13600 King St
Overland Park, KS 66221-8107
Phone (785) 766-5113

Other providers in Gardner, KS

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

Sources for this page

Verify at the official NPI Registry.