NPI 1992955918

Brandon Manche, PTA

Practitioner Specialist Merriam, KS

Practice location

Address: 6700 Antioch Rd Suite 430, Merriam, KS 66204-1258
Phone: (913) 652-9229

Registered specialties

Specialist Primary

Other Service Providers Taxonomy 174400000X Licence 2007037023 (MO)

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Registry record

NPI: 1992955918
Entity type: Individual
Sex (as registered): Male
NPI issued: 26 Sep 2008
Record last updated: 26 Sep 2008

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.