Provider Demographics
NPI:1184150617
Name:HINSON, NOELLE (PT)
Entity type:Individual
Prefix:
First Name:NOELLE
Middle Name:
Last Name:HINSON
Suffix:
Gender:F
Credentials:PT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:13000 W 136TH ST
Mailing Address - Street 2:APT 204
Mailing Address - City:OVERLAND PARK
Mailing Address - State:KS
Mailing Address - Zip Code:66221-4169
Mailing Address - Country:US
Mailing Address - Phone:913-375-7085
Mailing Address - Fax:
Practice Address - Street 1:16600 W 126TH ST
Practice Address - Street 2:
Practice Address - City:OLATHE
Practice Address - State:KS
Practice Address - Zip Code:66062-1184
Practice Address - Country:US
Practice Address - Phone:913-375-7085
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2017-05-03
Last Update Date:2017-05-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
KS11-02497225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist