BLAINE DOMANN

EASTON, KS
NPI1245432400
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy225200000X Physical Therapy Assistant
(Licence: KS  14-00710)
Enumeration Date2007-06-01
Last Update Date2007-07-08
Business Address
BLAINE DOMANN PTA
515 DAWSON ST
EASTON, KS 66020-9200
Phone number: 615-896-6400
Mailing Address
BLAINE DOMANN PTA
410 MAPLE CT
LANSING, KS 66043-2231
Phone number: 913-351-3125
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