MR. Brandon Manche, PTA

NPI #1992955918 in Merriam, Kansas

Provider Information

NPI Number: 1992955918
Entity Type: Individual
Name: MR. Brandon Manche, PTA
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Specialist
Credential: PTA
Enumeration Date: Sep 26, 2008
Last Updated: Sep 26, 2008

Practice Location

Address: 6700 ANTIOCH RD
Address 2: SUITE 430
City: Merriam
State: Kansas
ZIP Code: 66204-1258
Phone: (913) 652-9229

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Specialist	174400000X	Primary

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