Chris Harris, PTA
Individual provider Active NPI Physical Therapy Assistant · Andale, KS
NPI 1982153276 · NPPES record last updated Sep 27, 2016
Key facts
- NPI
- 1982153276
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Physical Therapy Assistant 225200000X
- License
- A-0791 (NM)
- Practice address
- 24124 W 37TH St N
Andale, KS 67001-9660 - Phone
- (505) 977-1793
- NPI assigned
- Sep 27, 2016
- Sex
- Male
- Sole proprietor
- Yes
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 |
|---|---|---|---|
| A-0791 | NM | MD | Physical Therapy Assistant |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapy Assistant | 225200000X | A-0791 | NM | Yes |
Addresses
Primary practice location
24124 W 37TH St N
Andale, KS 67001-9660
Mailing address
24124 W 37TH St N
Andale, KS 67001-9660
Phone (505) 977-1793
Other providers in Andale, KS
- Ryan Michael Dugan
- Josie Elizabeth Eck
- Kristie Nicole Faulkner
- Jennifer Kraus
- Renwick Usd 267
- Emma Grace Rierson
- Christie Lee Rowland
- Ryan Dugan Eye Care, LLC
All providers in Andale, 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 27, 2016. 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.