Miranda J. Reed, CPTA
Individual provider Active NPI Physical Therapy Assistant · Lyons, KS
NPI 1871831925 · NPPES record last updated Jan 24, 2013
Key facts
- NPI
- 1871831925
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Physical Therapy Assistant 225200000X
- License
- 14-01202 (KS)
- Practice address
- 619 S Clark Ave
Lyons, KS 67554-3003 - Phone
- (620) 257-7118
- Fax
- (620) 257-7189
- NPI assigned
- Jan 24, 2013
- 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 |
|---|---|---|---|
| 14-01202 | KS | MD | Physical Therapy Assistant |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapy Assistant | 225200000X | 14-01202 | KS | Yes |
Addresses
Primary practice location
619 S Clark Ave
Lyons, KS 67554-3003
Mailing address
215 W Willow GLN
Hillsboro, KS 67063-1932
Phone (620) 947-0107
Other providers in Lyons, KS
- Lyons Usd 405
- Lee J Norman
- Carl M Patrnchak
- Naomi Aiko Patrnchak
- Karla D Peter
- Rehabvisions
- Rice County Assisted Living LLC
- Rice County Council on Aging
- Karen Lee Root
- Maleah R Sandy
All providers in Lyons, 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 Jan 24, 2013. 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.