Healthcare Provider Details

I. General information

NPI: 1760744742
Provider Name (Legal Business Name): VALERIE ANN BALL CPTA
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 06/14/2012
Last Update Date: 06/14/2012
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

3220 SW ALBRIGHT DR
TOPEKA KS
66614-4707
US

IV. Provider business mailing address

2616 SW 30TH ST
TOPEKA KS
66611-1713
US

V. Phone/Fax

Practice location:
  • Phone: 785-969-6689
  • Fax: 785-286-7513
Mailing address:
  • Phone: 785-969-6689
  • Fax: 785-286-7513

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code2251G0304X
TaxonomyGeriatric Physical Therapist
License Number14-01616
License Number StateKS
# 2
Primary TaxonomyY
Taxonomy Code314000000X
TaxonomySkilled Nursing Facility
License Number14-01616
License Number StateKS

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: