Healthcare Provider Details

I. General information

NPI: 1205945888
Provider Name (Legal Business Name): PALMER PHYSICAL THERAPY FOR WOMEN, INC.
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 08/29/2006
Last Update Date: 07/21/2022
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2020 N WEBB RD SUITE 104
WICHITA KS
67206-3407
US

IV. Provider business mailing address

2020 N WEBB RD SUITE 104
WICHITA KS
67206-3407
US

V. Phone/Fax

Practice location:
  • Phone: 316-630-9944
  • Fax: 316-630-9945
Mailing address:
  • Phone: 316-630-9944
  • Fax: 316-630-9945

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code261QP2000X
TaxonomyPhysical Therapy Clinic/Center
License Number
License Number StateKS

VIII. Authorized Official

Name: PAM PALMER
Title or Position: OWNER
Credential: PT
Phone: 316-630-9944