Provider Demographics
NPI:1841788122
Name:HARLAND, JUSTIN (DPT)
Entity Type:Individual
Prefix:MR
First Name:JUSTIN
Middle Name:
Last Name:HARLAND
Suffix:
Gender:M
Credentials:DPT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2081 N WEBB RD STE B
Mailing Address - Street 2:
Mailing Address - City:WICHITA
Mailing Address - State:KS
Mailing Address - Zip Code:67206-3403
Mailing Address - Country:US
Mailing Address - Phone:316-260-8239
Mailing Address - Fax:316-462-5767
Practice Address - Street 1:2081 N WEBB RD STE B
Practice Address - Street 2:
Practice Address - City:WICHITA
Practice Address - State:KS
Practice Address - Zip Code:67206-3403
Practice Address - Country:US
Practice Address - Phone:316-260-8239
Practice Address - Fax:316-462-5767
Is Sole Proprietor?:No
Enumeration Date:2018-04-23
Last Update Date:2018-04-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist