Most Relevant Information
Provider Data
| NPI Number: | 1003407875 |
| Provider Name: | CHARLES SHAYA WEINSTEIN DPT |
| Entity Type: | Individual |
| Taxonomy Code: | 225100000X |
| Specialty: | Physical Therapist |
| License Number: | 11-07350 |
Most Important Dates
| Enumeration Date: | 02/03/2021 |
| Last Updated: | 06/22/2023 |
Provider Practice Location
1410 N WOODLAWN BLVD STE D
DERBY
KS
670372931
Practice Location Phone/Fax
| Phone: | 3162020970 |
| Fax: | 3162020971 |
Provider Mailing Location
200 W DOUGLAS AVE STE 250
WICHITA
KS
672023002
Provider Mailing Phone/Fax
| Phone: | 3162630003 |
| Fax: |