| Doctor Name: | ANGELA J NEISH |
| NPI Number: | 1003889239 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | P.T. |
| License Number: | 1102679 |
| Business Practice Address: | 3460 N Ridge Rd 80 Wichita, KS - 672051222 |
| Business Phone Number: | 3167228888 |
| Business Fax Number: | 3167228881 |
| Mailing Address: | 3460 N Ridge Rd, 80 WICHITA |
| State: | KS |
| Postal Code: | 672051222 |
| Phone Number: | 3167228888 |
| Fax Number: | 3167228881 |
| NPI Enumeration Date: | 02/08/2006 |
| NPI Last Update Date: | 08/15/2011 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 2251X0800X |
| License Number: | 1102679 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | KS |
| Taxonomy Type: | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| Taxonomy Classification: | Physical Therapist |
| Taxonomy Specialization: | Orthopedic |
| Taxonomy Definition: | |