Sandra Rader
Physical Therapist in Maize, KS. Individual provider (NPI-1).
NPI number1013662634
StatusActive
Last updated in NPPESFeb 14, 2022
Details
- NPI
- 1013662634
- Entity type
- Individual (NPI-1)
- Name
- Sandra Rader
- Sex
- Female
- Sole proprietor
- No
- Enumeration date
- Feb 14, 2022
- Certification date
- Feb 14, 2022
- Last updated
- Feb 14, 2022
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 225100000X | Physical Therapist | 11-01057 | KS | Yes |
Practice location
4590 N Maize Rd Ste 2Maize, KS 67101-8835
Phone 316-202-0963 · Fax 316-202-0964
Mailing address
200 W Douglas Ave Ste 250Wichita, KS 67202-3002
Phone 316-263-0003
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