Most Relevant Information
Provider Data
| NPI Number: | 1003202045 |
| Provider Name: | REESA VOLGAMORE PTA |
| Entity Type: | Individual |
| Taxonomy Code: | 225200000X |
| Specialty: | Physical Therapy Assistant |
| License Number: | 14-02420 |
Most Important Dates
| Enumeration Date: | 04/07/2015 |
| Last Updated: | 04/23/2015 |
Provider Practice Location
621 W 21ST ST
ANDOVER
KS
670028498
Practice Location Phone/Fax
| Phone: | 3167331349 |
| Fax: | 3167330919 |
Provider Mailing Location
621 W 21ST ST
ANDOVER
KS
670028498
Provider Mailing Phone/Fax
| Phone: | 3167331349 |
| Fax: | 3167330919 |