Provider Demographics
NPI:1134564024
Name:SKENDER, VALERIE CHRISTINE (PT)
Entity type:Individual
Prefix:
First Name:VALERIE
Middle Name:CHRISTINE
Last Name:SKENDER
Suffix:
Gender:F
Credentials:PT
Other - Prefix:
Other - First Name:VALERIE
Other - Middle Name:CHRISTINE
Other - Last Name:WONDRA
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:13410 E BUCKSKIN ST
Mailing Address - Street 2:
Mailing Address - City:WICHITA
Mailing Address - State:KS
Mailing Address - Zip Code:67230-7576
Mailing Address - Country:US
Mailing Address - Phone:316-655-3403
Mailing Address - Fax:316-247-8191
Practice Address - Street 1:9229 E 37TH ST N STE 201
Practice Address - Street 2:
Practice Address - City:WICHITA
Practice Address - State:KS
Practice Address - Zip Code:67226-2003
Practice Address - Country:US
Practice Address - Phone:316-655-3403
Practice Address - Fax:316-247-8191
Is Sole Proprietor?:Yes
Enumeration Date:2013-05-06
Last Update Date:2024-08-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
332BC3200X
KS11-029622251P0200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2251P0200XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical TherapistPediatrics
No332BC3200XSuppliersDurable Medical Equipment & Medical SuppliesCustomized Equipment
Provider Identifiers
StateIdentifier IDID TypeIssuer
KS201142720AMedicaid