Most Relevant Information
Provider Data
| NPI Number: | 1003684655 |
| Provider Name: | SAMUEL PAGE DPT, PT |
| Entity Type: | Individual |
| Taxonomy Code: | 225100000X |
| Specialty: | Physical Therapist |
| License Number: | 11-05228 |
Most Important Dates
| Enumeration Date: | 12/13/2023 |
| Last Updated: | 12/13/2023 |
Provider Practice Location
929 N SAINT FRANCIS AVE
WICHITA
KS
672143821
Practice Location Phone/Fax
| Phone: | 3162685000 |
| Fax: |
Provider Mailing Location
PO BOX 44
VALLEY CENTER
KS
671470044
Provider Mailing Phone/Fax
| Phone: | |
| Fax: |