Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 225100000X | Physical Therapist | 11-03531 | KS |
N | 2251N0400X | Physical Therapist - Neurology | 11-03531 | KS |
NPI | 1194170696 |
---|---|
Provider Name | Andrew Replogle |
First Address | Topeka, KS 66606-1632 |
Second Address | Topeka, KS 66606-1632 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 03/05/2016 |
Last Update Date | 17/03/2018 |