Erin Katie Idacavage, PT, MPT, GCS

NPI #1225134349 in Lansing, Kansas

Provider Information

NPI Number: 1225134349
Entity Type: Individual
Name: Erin Katie Idacavage, PT, MPT, GCS
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Physical Therapist
Credential: PT, MPT, GCS
Enumeration Date: Sep 15, 2006
Last Updated: Jul 21, 2022

Practice Location

Address: 1004 PROGRESS DR STE 100
City: Lansing
State: Kansas
ZIP Code: 66043-6323
Phone: (913) 351-3838

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Physical Therapist	225100000X	Primary

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