Doctor Name: | MR. KEVYN L SOUPISET |
NPI Number: | 1932110863 |
Entity Type Code: | Individual (1) |
Gender: | M |
Credentials: | PT |
License Number: | 11-03072 |
Business Practice Address: | 117 W 6th St Larned, KS - 675503045 |
Business Phone Number: | 6202856011 |
Business Fax Number: | 6202856012 |
Mailing Address: | 338 Sunset Rd, GREAT BEND |
State: | KS |
Postal Code: | 675309255 |
Phone Number: | 6202856011 |
Fax Number: | 6202856012 |
NPI Enumeration Date: | 08/09/2006 |
NPI Last Update Date: | 11/10/2008 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 225100000X |
License Number: | 11-03072 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | KS |
Taxonomy Type: | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
Taxonomy Classification: | Physical Therapist |
Taxonomy Specialization: | |
Taxonomy Definition: | (1) Physical therapists are health care professionals who evaluate and treat people with health problems resulting from injury or disease. PT |