Phoenix Risng Therapy, Llc | |
1721 E Osage Rd Ste 400 Derby KS 67037-2093 | |
(316) 399-6497 | |
Not Available |
Full Name | Phoenix Risng Therapy, Llc |
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Speciality | Social Worker - Clinical |
Location | 1721 E Osage Rd Ste 400, Derby, Kansas |
Authorized Official Name and Position | Andrea Lynn Skelton (OWNER-- LEAD THERAPIST) |
Authorized Official Contact | 3163996497 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
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Phoenix Risng Therapy, Llc 1721 E Osage Rd Ste 400 Derby KS 67037-2093 Ph: (316) 399-6497 | Phoenix Risng Therapy, Llc 1721 E Osage Rd Ste 400 Derby KS 67037-2093 Ph: (316) 399-6497 |
NPI Number | 1679311070 |
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Provider Enumeration Date | 07/18/2024 |
Last Update Date | 07/18/2024 |
Certification Date | 07/18/2024 |
Identifier | Type | State | Issuer |
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1679311070 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
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1041C0700X | Social Worker - Clinical | (* (Not Available)) | Primary |
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