Provider Demographics
NPI:1881006229
Name:SEXSON, BRITTANY (PTA)
Entity Type:Individual
Prefix:MRS
First Name:BRITTANY
Middle Name:
Last Name:SEXSON
Suffix:
Gender:F
Credentials:PTA
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:PO BOX 272
Mailing Address - Street 2:
Mailing Address - City:SHARON SPRINGS
Mailing Address - State:KS
Mailing Address - Zip Code:67758-0272
Mailing Address - Country:US
Mailing Address - Phone:785-821-4744
Mailing Address - Fax:
Practice Address - Street 1:220 W 2ND ST
Practice Address - Street 2:
Practice Address - City:GOODLAND
Practice Address - State:KS
Practice Address - Zip Code:67735-1602
Practice Address - Country:US
Practice Address - Phone:785-890-6021
Practice Address - Fax:785-890-6035
Is Sole Proprietor?:No
Enumeration Date:2014-05-20
Last Update Date:2014-05-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
KS14-02102225200000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225200000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapy Assistant