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NPI Code Detail

MEDICARE: BARBARA J TRECEK PT

MEDICARE: BARBARA J TRECEK PT
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1225100000XPhysical TherapistT02678KS

General Provider Information

NPI Number : 1407167760
Entity Type Code : Individual
Provider Name (Legal Business Name) : BARBARA J TRECEK PT
Provider Business Mailing Address
First Line : 4322 NIBLICK DR
Second Line :
City : WINFIELD
State : KS
Zip : 67156-8885
Country : US
Telephone Number : 620-218-8023
Fax Number :
Provider Business Practice Location Address
First Line : 234 W GREENWAY ST
Second Line :
City : DERBY
State : KS
Zip : 67037-2641
Country : US
Telephone Number : 316-788-6734
Fax Number : 316-788-4529
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 07/01/2010
Last Update Date : 11/02/2011

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Directions to “ BARBARA J TRECEK PT” Practice Location

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