MEDICARE: JESSICA L FRANK DPT

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
1	225100000X	Physical Therapist	11-05593	KS

General Provider Information

NPI Number	:	1952831836
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	JESSICA L FRANK DPT

Provider Business Mailing Address
First Line	:	200 W DOUGLAS AVE STE 1040
Second Line	:
City	:	WICHITA
State	:	KS
Zip	:	67202-3017
Country	:	US
Telephone Number	:	316-263-0003
Fax Number	:	316-263-1241

Provider Business Practice Location Address
First Line	:	8437 STATE AVE STE B
Second Line	:
City	:	KANSAS CITY
State	:	KS
Zip	:	66112-1851
Country	:	US
Telephone Number	:	913-299-9616
Fax Number	:	913-299-9617

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	06/14/2017
Last Update Date	:	06/14/2017

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Directions to “ JESSICA L FRANK DPT” Practice Location

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