NPI 1063119576

Jason Tanner, CPO

Practitioner Orthotist Wichita, KS

Practice location

Address: 12911 E 21st St N, Wichita, KS 67230-7408
Phone: (316) 630-8420

Registered specialties (2)

Orthotist Primary

Respiratory, Developmental, Rehabilitative and Restorative Service Providers Taxonomy 222Z00000X

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Prosthetist

Respiratory, Developmental, Rehabilitative and Restorative Service Providers Taxonomy 224P00000X

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Registry record

NPI: 1063119576
Entity type: Individual
Sex (as registered): Male
NPI issued: 14 Feb 2023
Record last updated: 14 Feb 2023

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.