Healthcare Provider Details

I. General information

NPI: 1801911086
Provider Name (Legal Business Name): SUSAN WRIGHT ROCKLEY DPT
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 03/20/2007
Last Update Date: 08/08/2023
Certification Date: 08/08/2023
Deactivation Date:
Reactivation Date:

III. Provider practice location address

834 N SOCORA ST STE 1
WICHITA KS
67212-3278
US

IV. Provider business mailing address

1650 LYNDON FARM CT STE 300
LOUISVILLE KY
40223-5005
US

V. Phone/Fax

Practice location:
  • Phone: 316-440-3731
  • Fax: 316-440-3741
Mailing address:
  • Phone: 316-263-0003
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code225100000X
TaxonomyPhysical Therapist
License Number11-02893
License Number StateKS

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: