Doctor Name: | MS. THERESA GAYLE WINTER |
NPI Number: | 1255367249 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | RRT |
License Number: | 16-00278 |
Business Practice Address: | 117 W 6th St Larned, KS - 675503045 |
Business Phone Number: | 6208046104 |
Business Fax Number: | 6202856012 |
Mailing Address: | 117 W 6th St, LARNED |
State: | KS |
Postal Code: | 675503045 |
Phone Number: | 6208046104 |
Fax Number: | 6202856012 |
NPI Enumeration Date: | 06/23/2006 |
NPI Last Update Date: | 06/20/2008 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 2251C2600X |
License Number: | 16-00278 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | KS |
Taxonomy Type: | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
Taxonomy Classification: | Physical Therapist |
Taxonomy Specialization: | Cardiopulmonary |
Taxonomy Definition: |