Healthcare Provider Details

I. General information

NPI: 1679211643
Provider Name (Legal Business Name): ALAINA RAE LAMATSCH DPT
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

Provider Other Name: ALAINA RAE SCHNEIDER

II. Dates (important events)

Enumeration Date: 05/20/2022
Last Update Date: 01/28/2026
Certification Date: 01/28/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2817 9TH ST
GREAT BEND KS
67530-4809
US

IV. Provider business mailing address

2817 9TH ST
GREAT BEND KS
67530-4809
US

V. Phone/Fax

Practice location:
  • Phone: 620-282-4825
  • Fax: 620-205-1206
Mailing address:
  • Phone: 620-282-4825
  • Fax: 620-860-4125

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code225100000X
TaxonomyPhysical Therapist
License Number
License Number State

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: