CHAZ CARROL BECKWITH

LARNED, KS
NPI1356924351
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy225200000X Physical Therapy Assistant
(Licence: KS  14-03808)
Enumeration Date2021-04-28
Last Update Date2021-04-28
Business Address
CHAZ CARROL BECKWITH PTA
117 W 6TH ST
LARNED, KS 67550-3045
Phone number: 620-285-6011
Mailing Address
CHAZ CARROL BECKWITH PTA
315 RUSH AVE
LARNED, KS 67550-3445
Phone number: 620-357-1629
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