Healthcare Provider Details

I. General information

NPI: 1326969809
Provider Name (Legal Business Name): DANIEL BYERS PTA
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 07/22/2026
Last Update Date: 07/22/2026
Certification Date: 07/22/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

7550 W VILLAGE CIR STE 1
WICHITA KS
67205-9364
US

IV. Provider business mailing address

7550 W VILLAGE CIR STE 1
WICHITA KS
67205-9364
US

V. Phone/Fax

Practice location:
  • Phone: 316-838-2020
  • Fax:
Mailing address:
  • Phone: 316-838-2020
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code225200000X
TaxonomyPhysical Therapy Assistant
License Number14-03585
License Number StateKS

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: