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NPI Code Detail

MEDICARE: JANE PENDRY DPT

MEDICARE:   JANE  PENDRY  DPT
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1225100000XPhysical Therapist1106887KS

General Provider Information

NPI Number : 1497414601
Entity Type Code : Individual
Provider Name (Legal Business Name) : JANE PENDRY DPT
Provider Business Mailing Address
First Line : 2081 N WEBB RD STE B
Second Line :
City : WICHITA
State : KS
Zip : 67206-3403
Country : US
Telephone Number : 316-260-8239
Fax Number : 316-462-5767
Provider Business Practice Location Address
First Line : 2081 N WEBB RD STE B
Second Line :
City : WICHITA
State : KS
Zip : 67206-3403
Country : US
Telephone Number : 316-260-8239
Fax Number : 316-462-5767
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 12/15/2021
Last Update Date : 12/15/2021

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Directions to “ JANE PENDRY DPT” Practice Location

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