Provider Demographics
NPI:1316198898
Name:NEWKIRK, TERRI LYNNE (PT)
Entity Type:Individual
Prefix:MRS
First Name:TERRI
Middle Name:LYNNE
Last Name:NEWKIRK
Suffix:
Gender:F
Credentials:PT
Other - Prefix:MS
Other - First Name:TERRI
Other - Middle Name:LYNNE
Other - Last Name:SELZER
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:PT
Mailing Address - Street 1:12745 KING ST
Mailing Address - Street 2:
Mailing Address - City:OVERLAND PARK
Mailing Address - State:KS
Mailing Address - Zip Code:66213-4447
Mailing Address - Country:US
Mailing Address - Phone:913-851-0031
Mailing Address - Fax:
Practice Address - Street 1:10300 W 103RD ST
Practice Address - Street 2:SUITE 300
Practice Address - City:OVERLAND PARK
Practice Address - State:KS
Practice Address - Zip Code:66214-2642
Practice Address - Country:US
Practice Address - Phone:913-894-1910
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2008-10-02
Last Update Date:2008-10-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
KS11-02514225100000X
MO113510225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist
Provider Identifiers
StateIdentifier IDID TypeIssuer
MO113510OtherSTATE LICENSE
KS11-02514OtherSTATE LICENSE