Bethany A Balzer, PTA
Individual provider Active NPI Physical Therapy Assistant · Wichita, KS
NPI 1750890992 · NPPES record last updated Sep 20, 2017
Key facts
- NPI
- 1750890992
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Physical Therapy Assistant 225200000X
- License
- 1403242 (KS)
- Practice address
- 834 N Socora St Ste 1
Wichita, KS 67212-3279 - Phone
- (316) 440-3731
- Fax
- (316) 440-3741
- NPI assigned
- Sep 20, 2017
- 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 |
|---|---|---|---|
| 1403242 | KS | MD | Physical Therapy Assistant |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapy Assistant | 225200000X | 1403242 | KS | Yes |
Addresses
Primary practice location
834 N Socora St Ste 1
Wichita, KS 67212-3279
Mailing address
200 W Douglas Ave Ste 1040
Wichita, KS 67202-3017
Phone (316) 263-0003
Other providers in Wichita, KS
- Lindsey Grace Ball
- Miah Ball
- Nigist Shemeles Balla
- Ballard Aviation Inc
- Katherine Bally
- Kelly J Balzer
- Bruce M. Bammel
- Grace T Banach
- Hali Dawn Banda
- Ramya Banda
All providers in Wichita, 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 Sep 20, 2017. 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.