JORDAN STANTON

WICHITA, KS
NPI1891124194
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy225200000X Physical Therapy Assistant
(Licence: KS  14-02440)
Enumeration Date2013-11-06
Last Update Date2013-11-06
Business Address
-- JORDAN STANTON
777 N MCLEAN BLVD
WICHITA, KS 67203-4980
Phone number: 877-498-6452
Mailing Address
-- JORDAN STANTON
1124 W 13TH ST N
WICHITA, KS 67203-3412
Phone number: