NPI 1003169301

Alice Chiedzo Hakata, PTMED

Practitioner Physical Therapist Wichita, KS

Practice location

Address: 2828 N. Governeour, Larksfield Place, Wichita, KS 67226
Phone: (316) 636-1111
Fax: (316) 858-3971
Mailing address: 706 Saint Eric Dr, Mansfield, TX 76063-4800

Registered specialties (2)

Physical Therapist Primary

Respiratory, Developmental, Rehabilitative and Restorative Service Providers Taxonomy 225100000X Licence 11-04451 (KS)

Other Physical Therapist providers in Kansas →

Physical Therapist

Respiratory, Developmental, Rehabilitative and Restorative Service Providers Taxonomy 225100000X Licence 1079937 (TX)

Registry record

NPI: 1003169301
Entity type: Individual
Sex (as registered): Female
NPI issued: 24 Oct 2012
Record last updated: 24 Oct 2012

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.