Healthcare Provider Details

I. General information

NPI: 1558931063
Provider Name (Legal Business Name): MICHAELA RENEE TOEWS DPT
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 06/28/2021
Last Update Date: 06/28/2021
Certification Date: 06/28/2021
Deactivation Date:
Reactivation Date:

III. Provider practice location address

400 S SANTA FE AVE
SALINA KS
67401-4144
US

IV. Provider business mailing address

6603 NW INDIANOLA RD
WHITEWATER KS
67154-8985
US

V. Phone/Fax

Practice location:
  • Phone: 785-452-7000
  • Fax:
Mailing address:
  • Phone: 620-282-2160
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code225100000X
TaxonomyPhysical Therapist
License Number11-06736
License Number StateKS

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: