Provider Demographics
NPI:1134952849
Name:FULKS, NORA H
Entity type:Individual
Prefix:MRS
First Name:NORA
Middle Name:H
Last Name:FULKS
Suffix:
Gender:F
Credentials:
Other - Prefix:MISS
Other - First Name:NORA
Other - Middle Name:H
Other - Last Name:CRESSWELL
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:1311 WAKARUSA DR
Mailing Address - Street 2:SUITE 1000
Mailing Address - City:LAWRENCE
Mailing Address - State:KS
Mailing Address - Zip Code:66049-4798
Mailing Address - Country:US
Mailing Address - Phone:785-749-1300
Mailing Address - Fax:785-749-4746
Practice Address - Street 1:1311 WAKARUSA DR
Practice Address - Street 2:SUITE 1000
Practice Address - City:LAWRENCE
Practice Address - State:KS
Practice Address - Zip Code:66049-4798
Practice Address - Country:US
Practice Address - Phone:785-749-1300
Practice Address - Fax:785-749-4746
Is Sole Proprietor?:No
Enumeration Date:2024-08-20
Last Update Date:2024-08-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
KS14-03731225200000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225200000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapy Assistant