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NPI Code Detail

MEDICARE: ASHITA PATEL PTA

MEDICARE:   ASHITA  PATEL  PTA
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
1225200000XPhysical Therapy Assistant14-03475KS

General Provider Information

NPI Number : 1578243119
Entity Type Code : Individual
Provider Name (Legal Business Name) : ASHITA PATEL PTA
Provider Business Mailing Address
First Line : 13875 W 115TH TER
Second Line :
City : OLATHE
State : KS
Zip : 66062-7937
Country : US
Telephone Number : 800-381-0822
Fax Number :
Provider Business Practice Location Address
First Line : 13875 W 115TH TER
Second Line :
City : OLATHE
State : KS
Zip : 66062-7937
Country : US
Telephone Number : 800-381-0822
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 07/19/2023
Last Update Date : 07/19/2023

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Directions to “ ASHITA PATEL PTA” Practice Location

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