TANNER CUSICK

DERBY, KS
NPI1346756863
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy225200000X Physical Therapy Assistant
(Licence: KS  1403327)
Enumeration Date2017-12-20
Last Update Date2017-12-20
Business Address
TANNER CUSICK
608 N MULBERRY RD
DERBY, KS 67037-3532
Phone number: 316-202-0996
Mailing Address
TANNER CUSICK
200 W DOUGLAS AVE STE 1040
WICHITA, KS 67202-3017
Phone number: 316-263-0003
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