Provider Demographics
NPI:1033689609
Name:KAHNT, ALEXIS JANE (ATC)
Entity Type:Individual
Prefix:
First Name:ALEXIS
Middle Name:JANE
Last Name:KAHNT
Suffix:
Gender:F
Credentials:ATC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:110 SUNRISE HILL RD
Mailing Address - Street 2:
Mailing Address - City:WHITE CITY
Mailing Address - State:KS
Mailing Address - Zip Code:66872
Mailing Address - Country:US
Mailing Address - Phone:785-561-0096
Mailing Address - Fax:
Practice Address - Street 1:110 SUNRISE HILL RD
Practice Address - Street 2:
Practice Address - City:WHITE CITY
Practice Address - State:KS
Practice Address - Zip Code:66872
Practice Address - Country:US
Practice Address - Phone:785-561-0096
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2018-11-27
Last Update Date:2019-06-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2255A2300XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersSpecialist/TechnologistAthletic Trainer