Reginald Thomas Wheaton, PTA

NPI #1114681715 in Goddard, Kansas

Provider Information

NPI Number: 1114681715
Entity Type: Individual
Name: Reginald Thomas Wheaton, PTA
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Physical Therapy Assistant
Credential: PTA
Enumeration Date: Oct 29, 2021
Last Updated: Nov 4, 2021

Practice Location

Address: 12 S LAKEVIEW CT
City: Goddard
State: Kansas
ZIP Code: 67052-9228
Phone: (316) 252-0445

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Physical Therapy Assistant	225200000X	Primary

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