Healthcare Provider Details

I. General information

NPI: 1811439219
Provider Name (Legal Business Name): LAUREN MICHELLE CAHN CPTA
Entity Type: Individual
Gender: Female
Sole Proprietor: N

Provider Other Name: LAUREN HUFFMAN

II. Dates (important events)

Enumeration Date: 11/16/2016
Last Update Date: 09/05/2018
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

7111 E 21ST ST N STE 103
WICHITA KS
67206
US

IV. Provider business mailing address

200 W DOUGLAS AVE STE 1040
WICHITA KS
67202-3017
US

V. Phone/Fax

Practice location:
  • Phone: 316-269-1311
  • Fax:
Mailing address:
  • Phone: 316-263-0003
  • Fax: 316-263-1241

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code225200000X
TaxonomyPhysical Therapy Assistant
License Number14-03070
License Number StateKS

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: