Amy D Coldren, PTA

Individual provider Active NPI Physical Therapy Assistant · Arkansas City, KS

NPI 1689283012 · NPPES record last updated Jul 31, 2020

Key facts

NPI
1689283012
Entity type
Individual (NPI type 1)
Primary specialty
Physical Therapy Assistant 225200000X
License
14-03705 (KS)
Practice address
2524 N Summit St
Arkansas City, KS 67005-8808
Phone
(620) 442-0255
Fax
(620) 442-0257
NPI assigned
Jul 31, 2020
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
14-03705KSMDPhysical Therapy Assistant

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapy Assistant 225200000X 14-03705 KS Yes

Addresses

Primary practice location

2524 N Summit St
Arkansas City, KS 67005-8808

Mailing address

200 W Douglas Ave Ste 1040
Wichita, KS 67202-3017
Phone (316) 263-0003

Other providers in Arkansas City, KS

All providers in Arkansas City, KS · Physical Therapy Assistant in Kansas

Sources for this page

Verify at the official NPI Registry.