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NPI Code Detail

MEDICARE: ARREL M JAMES L - PTA

MEDICARE: ARREL M JAMES L - 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 Assistant14-03333KS

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
114-03333OTHERKSBOARD OF PHYSICAL THERAPY

General Provider Information

NPI Number : 1780239293
Entity Type Code : Individual
Provider Name (Legal Business Name) : ARREL M JAMES L - PTA
Provider Business Mailing Address
First Line : 720 HUBNER RD
Second Line :
City : FOR RILEY
State : KS
Zip : 66441
Country : US
Telephone Number : 307-871-7532
Fax Number :
Provider Business Practice Location Address
First Line : 650 HUEBNER RD
Second Line :
City : FORT RILEY
State : KS
Zip : 66442-4030
Country : US
Telephone Number : 307-871-7532
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 08/02/2019
Last Update Date : 04/10/2026

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