Provider Demographics
NPI:1730391046
Name:FRANKLIN, TERESA L (MSPT)
Entity type:Individual
Prefix:
First Name:TERESA
Middle Name:L
Last Name:FRANKLIN
Suffix:
Gender:F
Credentials:MSPT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1102 E CENTENNIAL DR
Mailing Address - Street 2:
Mailing Address - City:PITTSBURG
Mailing Address - State:KS
Mailing Address - Zip Code:66762-6643
Mailing Address - Country:US
Mailing Address - Phone:620-232-0226
Mailing Address - Fax:620-235-7817
Practice Address - Street 1:1102 E CENTENNIAL DR
Practice Address - Street 2:
Practice Address - City:PITTSBURG
Practice Address - State:KS
Practice Address - Zip Code:66762-6643
Practice Address - Country:US
Practice Address - Phone:620-232-0226
Practice Address - Fax:620-235-7817
Is Sole Proprietor?:No
Enumeration Date:2007-05-07
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
KS11-02774225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist