Quandaireal Blue, PTA
Individual provider Active NPI Physical Therapy Assistant · Abilene, KS
NPI 1881456895 · NPPES record last updated Jan 25, 2024
Key facts
- NPI
- 1881456895
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Physical Therapy Assistant 225200000X
- License
- 14-04181 (KS)
- Practice address
- 705 N Brady St
Abilene, KS 67410-2113 - Phone
- (843) 592-6880
- NPI assigned
- Jan 25, 2024
- 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 |
|---|---|---|---|
| 14-04181 | KS | MD | Physical Therapy Assistant |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapy Assistant | 225200000X | 14-04181 | KS | Yes |
Addresses
Primary practice location
705 N Brady St
Abilene, KS 67410-2113
Mailing address
705 N Brady St
Abilene, KS 67410-2113
Other providers in Abilene, KS
- Jenee' Barth
- Rhonda Bathurst
- Berkley Sheern & Holmes MD
- Nicole Marie Betz
- J. Dennis Biggs
- Briley Bohon
- Brookdale Senior Living Communities, Inc.
- Brookdale Senior Living Communities, Inc.
- Andrew Brown
- Megan E Brown
All providers in Abilene, 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 25, 2024. 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.