Provider Demographics
NPI:1164450706
Name:WATSON, PATRICIA N (BA,MSPT)
Entity Type:Individual
Prefix:
First Name:PATRICIA
Middle Name:N
Last Name:WATSON
Suffix:
Gender:F
Credentials:BA,MSPT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:5000 W 95TH ST
Mailing Address - Street 2:SUITE 100
Mailing Address - City:PRAIRIE VILLAGE
Mailing Address - State:KS
Mailing Address - Zip Code:66207-3364
Mailing Address - Country:US
Mailing Address - Phone:913-438-8000
Mailing Address - Fax:913-438-8008
Practice Address - Street 1:5000 W 95TH ST
Practice Address - Street 2:SUITE 100
Practice Address - City:PRAIRIE VILLAGE
Practice Address - State:KS
Practice Address - Zip Code:66207-3364
Practice Address - Country:US
Practice Address - Phone:913-438-8000
Practice Address - Fax:913-438-8008
Is Sole Proprietor?:No
Enumeration Date:2006-06-30
Last Update Date:2007-07-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
KS11-03119225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist
Provider Identifiers
StateIdentifier IDID TypeIssuer
KS11-03119OtherKS BOEARD OF HEALLING ART