Provider Demographics
NPI:1659002400
Name:FAULK, ABBY NICOLE (CPTA)
Entity Type:Individual
Prefix:MRS
First Name:ABBY
Middle Name:NICOLE
Last Name:FAULK
Suffix:
Gender:F
Credentials:CPTA
Other - Prefix:MISS
Other - First Name:ABBY
Other - Middle Name:NICOLE
Other - Last Name:STENZEL
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:3212 SW EVENINGSIDE DR APT 17
Mailing Address - Street 2:
Mailing Address - City:TOPEKA
Mailing Address - State:KS
Mailing Address - Zip Code:66614-3721
Mailing Address - Country:US
Mailing Address - Phone:316-727-9382
Mailing Address - Fax:
Practice Address - Street 1:1601 SW LANE ST STE 101
Practice Address - Street 2:
Practice Address - City:TOPEKA
Practice Address - State:KS
Practice Address - Zip Code:66604-3201
Practice Address - Country:US
Practice Address - Phone:785-233-5500
Practice Address - Fax:785-233-5512
Is Sole Proprietor?:No
Enumeration Date:2022-06-22
Last Update Date:2022-12-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
KS1403969225200000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225200000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapy Assistant