Dawn Gnuthake, PTA

Individual provider Active NPI Physical Therapy Assistant · Lansing, KS

NPI 1679204804 · NPPES record last updated Jul 20, 2023

Key facts

NPI
1679204804
Entity type
Individual (NPI type 1)
Primary specialty
Physical Therapy Assistant 225200000X
License
14-03987 (KS)
Practice address
712 1St Ter Ste 103
Lansing, KS 66043-1735
Phone
(913) 727-2022
NPI assigned
Jun 20, 2022
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
14-03987KSMDPhysical Therapy Assistant

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapy Assistant 225200000X 14-03987 KS Yes

Addresses

Primary practice location

712 1St Ter Ste 103
Lansing, KS 66043-1735

Mailing address

200 W Douglas Ave Ste 250
Wichita, KS 67202-3002
Phone (316) 263-0003

Other providers in Lansing, KS

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

Sources for this page

Verify at the official NPI Registry.