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NPI Code Detail

MEDICARE: JAMES BALES

MEDICARE: JAMES BALES
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 Therapist11-02574KS

General Provider Information

NPI Number : 1902454150
Entity Type Code : Individual
Provider Name (Legal Business Name) : JAMES BALES
Provider Business Mailing Address
First Line : 485 N KS HWY 2
Second Line :
City : ANTHONY
State : KS
Zip : 67003-2526
Country : US
Telephone Number : 620-914-1200
Fax Number :
Provider Business Practice Location Address
First Line : 485 N KS HWY 2
Second Line :
City : ANTHONY
State : KS
Zip : 67003-2526
Country : US
Telephone Number : 620-914-1200
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 08/30/2019
Last Update Date : 08/21/2020

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Directions to “ JAMES BALES ” Practice Location

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