Mrs Wenda Lee Davis, PT | |
516 Canyon Dr, Lawrence, KS 66049-2400 | |
(913) 609-6593 | |
Not Available |
Full Name | Mrs Wenda Lee Davis |
---|---|
Gender | Female |
Speciality | Physical Therapist |
Location | 516 Canyon Dr, Lawrence, Kansas |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1326829482 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
225100000X | Physical Therapist | 11-02047 (Kansas) | Primary |
Provider Name | Elite Therapy Llc |
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Provider Type | Part B Supplier - Physical/occupational Therapy Group In Private Practice |
Provider Identifiers | NPI Number: 1700360419 PECOS PAC ID: 0042563538 Enrollment ID: O20181031000220 |
Mailing Address | Practice Location Address |
---|---|
Mrs Wenda Lee Davis, PT 516 Canyon Dr, Lawrence, KS 66049-2400 Ph: (913) 609-6593 | Mrs Wenda Lee Davis, PT 516 Canyon Dr, Lawrence, KS 66049-2400 Ph: (913) 609-6593 |
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Mrs. Renee R Rettele, MS PT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 3510 Clinton Pl, Suite 110, Lawrence, KS 66047 Phone: 785-840-3780 | |
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