Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 225200000X | Physical Therapy Assistant | T-04303 | KS |
NPI | 1003298878 |
---|---|
Provider Name | Jarin Huske |
First Address | Topeka, KS 66604-4510 |
Second Address | Topeka, KS 66604-4510 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 29/06/2015 |
Last Update Date | 29/06/2015 |