Kaysha D O'Daniel, PTA
Individual provider Active NPI Physical Therapy Assistant · Independence, KS
NPI 1720567282 · NPPES record last updated Aug 7, 2018
Key facts
- NPI
- 1720567282
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Physical Therapy Assistant 225200000X
- License
- 1402748 (KS)
- Practice address
- 118 W Main St
Independence, KS 67301-3511 - Phone
- (620) 331-0999
- NPI assigned
- Aug 7, 2018
- 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
| License | State | Type | Specialty |
|---|---|---|---|
| 1402748 | KS | MD | Physical Therapy Assistant |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapy Assistant | 225200000X | 1402748 | KS | Yes |
Addresses
Primary practice location
118 W Main St
Independence, KS 67301-3511
Mailing address
200 W Douglas Ave Ste 1040
Wichita, KS 67202-3017
Phone (316) 263-0003
Other providers in Independence, KS
- Kathryn Newman
- Sarah Denise-Bradburn Nordt
- Null Chiropractic LLC
- Logan Alan Null
- Scott A Null
- Jodi Oder
- Yehoshua M. Othniel
- Cole Pasternak
- Devishkumar H Patel
- Beth Patton
All providers in Independence, 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 Aug 7, 2018. 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.