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-- JASON FUNK -- PTA

Individual Provider (NPI-1) Active

Physical Therapy Assistant

Provider Information

NPI Number
1972049393
Provider Type
Individual Provider (NPI-1)
Credentials
PTA
Status
Active

Contact & Location

Address
234 W GREENWAY ST, DERBY, KS, 670372641
Phone
(316) 788-6734
Fax
(316) 788-4529

Specialties & Taxonomies

Physical Therapy Assistant Primary License: KS #14-03075

All Addresses

MAILING

234 W GREENWAY ST

DERBY, KS, 670372641

(316) 788-6734

LOCATION

234 W GREENWAY ST

DERBY, KS, 670372641

(316) 788-6734