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NPI Code Detail

MEDICARE: ISAAC W REPPERT

MEDICARE: ISAAC W REPPERT
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
1106S00000XBehavior Technician
2222Q00000XDevelopmental Therapist
3385HR2055XChild Mental Illness Respite CareKS
4106H00000XMarriage & Family Therapist03848-TKS
5106E00000XAssistant Behavior AnalystKS

General Provider Information

NPI Number : 1558865857
Entity Type Code : Individual
Provider Name (Legal Business Name) : ISAAC W REPPERT
Provider Business Mailing Address
First Line : 1408 POYNTZ AVE
Second Line :
City : MANHATTAN
State : KS
Zip : 66502-4145
Country : US
Telephone Number : 785-776-4105
Fax Number : 785-537-2299
Provider Business Practice Location Address
First Line : 1408 POYNTZ AVE
Second Line :
City : MANHATTAN
State : KS
Zip : 66502-4145
Country : US
Telephone Number : 785-776-4105
Fax Number : 785-537-2299
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 03/21/2018
Last Update Date : 04/08/2026

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1548258049 — DR. SUZAN LYNN HAWKES PHD, LSCSW
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1124016720 — MELISSA ESHELMAN MSW, LSCSW
Practice Location Address:
1408 POYNTZ AVE
MANHATTAN, KS
66502-4145
Practice Phone: 785-776-4105
Practice Fax: 785-537-2299
1588652861 — DR. JUDSON J SWIHART PHD MSW LSCSW
Practice Location Address:
1408 POYNTZ AVE
MANHATTAN, KS
66502-4145
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Practice Fax: 785-537-2299
1710975875 — KIMBERLEE MOIR LSCSW
Practice Location Address:
1408 POYNTZ AVE
MANHATTAN, KS
66502-4145
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1760464259 — SHERRI L MASSEY LCMFT
Practice Location Address:
1408 POYNTZ AVE
MANHATTAN, KS
66502-4145
Practice Phone: 785-776-4105
Practice Fax: 785-537-2299

Directions to “ ISAAC W REPPERT ” Practice Location

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