Wiglesworth, Russell Alan
Wiglesworth, Russell Alan is an individual health care provider with primary practice located at 15455 S Rogers Rd , Olathe KS 66062-3497. He recently has only one registered license in Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Physical Therapist, which is considered as his primary health care specialty. Wiglesworth, Russell Alan can be contacted via phone (913) 254-0568.Contact Information
Primary practice address
15455 S Rogers Rd
Olathe KS 66062-3497
Phone: (913) 254-0568
Fax: (913) 254-0854
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Physical Therapist | 225100000X | R0956 | Missouri |
Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Physical Therapist | 225100000X | 11-00821 | Kansas |
Profile Details
NPI number | 1619921137 |
---|---|
LBN Legal business name | Wiglesworth, Russell Alan |
Credentials | Physical Therapist (PT) |
Entity | Individual |
Sole proprietor 1 | No |
Enumeration date | May 20th, 2006 |
Last updated | Jun 16th, 2021 - about 3 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
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