Provider Demographics
NPI:1467216069
Name:FOLEY, JONNA DANYALE (DPT)
Entity Type:Individual
Prefix:
First Name:JONNA
Middle Name:DANYALE
Last Name:FOLEY
Suffix:
Gender:F
Credentials:DPT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:11501 W 81ST ST APT 267
Mailing Address - Street 2:
Mailing Address - City:LENEXA
Mailing Address - State:KS
Mailing Address - Zip Code:66214-3317
Mailing Address - Country:US
Mailing Address - Phone:620-518-0243
Mailing Address - Fax:
Practice Address - Street 1:11340 NALL AVE UNIT 200B
Practice Address - Street 2:
Practice Address - City:OVERLAND PARK
Practice Address - State:KS
Practice Address - Zip Code:66211-1234
Practice Address - Country:US
Practice Address - Phone:913-354-5020
Practice Address - Fax:913-354-5009
Is Sole Proprietor?:No
Enumeration Date:2024-02-13
Last Update Date:2024-02-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
KS11-07522225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist