WELLNESS STRATEGIES LLC NPI 1578847182

NPI Information

  • NPI: 1578847182
  • Provider Name: WELLNESS STRATEGIES LLC
  • Classification: Physician Assistant - 363AM0700X
  • Specialization: Medical
  • Entity Type: Organization
  • Doing Business As: PREMIER PHYSICAL MEDICINE
  • Address: 6224 EAST SHADYBROOK ST.
    WICHITA, KS
    ZIP 67208
  • Phone: (316) 682-7246

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NPI Details

WELLNESS STRATEGIES LLC is a medical physician assistant in Wichita, KS. WELLNESS STRATEGIES LLC NPI is 1578847182. The provider is registered as an organization entity type and is a multi-specialty group.
The provider Is Doing Business As Premier Physical Medicine.

The provider's business location address is:

6224 EAST SHADYBROOK ST.
WICHITA, KS
ZIP 67208
Phone: (316) 682-7246
Fax: (316) 683-9500

The provider's authorized official is Tanner Hancock .
The authorized official title is Owner and has the following contact phone number (316) 683-9500.

The enumeration date for this NPI number is 9/30/2011 and was last updated on 10/23/2014.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1363AM0700XPhysician AssistantMedical15-00952KANSASYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No. Other Provider Identifier Other Provider Identifier Type Other Provider Identifier State Other Provider Identifier Issuer
16628290001MEDICARE NSCKANSAS
2682302MEDICARE UPINKANSAS

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 3/30/2025

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