Provider Demographics
NPI:1023345907
Name:VOGEL, BRITTNEY LYNNE (PTA)
Entity type:Individual
Prefix:MRS
First Name:BRITTNEY
Middle Name:LYNNE
Last Name:VOGEL
Suffix:
Gender:F
Credentials:PTA
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
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Other - Credentials:
Mailing Address - Street 1:1810 SW COLLINS AVE
Mailing Address - Street 2:
Mailing Address - City:TOPEKA
Mailing Address - State:KS
Mailing Address - Zip Code:66604-3221
Mailing Address - Country:US
Mailing Address - Phone:
Mailing Address - Fax:
Practice Address - Street 1:601 SW CORPORATE VW
Practice Address - Street 2:SUITE220
Practice Address - City:TOPEKA
Practice Address - State:KS
Practice Address - Zip Code:66615-1244
Practice Address - Country:US
Practice Address - Phone:785-228-6100
Practice Address - Fax:785-228-6101
Is Sole Proprietor?:Yes
Enumeration Date:2009-11-12
Last Update Date:2011-01-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MO2009033310225200000X
KS14-01969225200000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225200000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapy Assistant