IndividualActive
Antonio Carrasco
NPI 1265104632 · Physical Therapy Assistant · Great Bend, KS
Provider details
- NPI number
- 1265104632
- Entity type
- Individual
- Primary specialty
- Physical Therapy AssistantRespiratory, Developmental, Rehabilitative and Restorative Service Providers
- Sex
- Male
- Sole proprietor
- Yes
- License
- 14-03867 (KS)
Specialties & taxonomies
Respiratory, Developmental, Rehabilitative and Restorative Service Providers
Practice location
1818 Baker Ave
Great Bend, KS 67530-2726
Phone: (620) 617-3259
Approximate (ZIP-level) locationGet directions
Mailing address
1818 Baker Ave
Great Bend, KS 67530-2726
Registry dates
- Enumerated
- 2021-10-04
- Last updated
- 2021-10-04
- Certified
- 2021-10-04
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.