Shirley Vanloenen, CPTA

Individual provider Active NPI Physical Therapy Assistant · Phillipsburg, KS

NPI 1649529694 · NPPES record last updated Sep 6, 2012

Key facts

NPI
1649529694
Entity type
Individual (NPI type 1)
Primary specialty
Physical Therapy Assistant 225200000X
License
1400110 (KS)
Practice address
1150 State St
Phillipsburg, KS 67661-1743
Phone
(785) 543-5226
NPI assigned
Sep 6, 2012
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
1400110KSMDPhysical Therapy Assistant

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapy Assistant 225200000X 1400110 KS Yes

Addresses

Primary practice location

1150 State St
Phillipsburg, KS 67661-1743

Mailing address

1150 State St
PO Box 607
Phillipsburg, KS 67661-1743
Phone (785) 543-5226

Other providers in Phillipsburg, KS

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

Sources for this page

Verify at the official NPI Registry.