Provider Demographics
NPI:1184719635
Name:FOSTER, TRENT J (PT)
Entity type:Individual
Prefix:MR
First Name:TRENT
Middle Name:J
Last Name:FOSTER
Suffix:
Gender:M
Credentials:PT
Other - Prefix:
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Mailing Address - Street 1:11678 S MARION ST
Mailing Address - Street 2:
Mailing Address - City:OLATHE
Mailing Address - State:KS
Mailing Address - Zip Code:66061-5302
Mailing Address - Country:US
Mailing Address - Phone:913-254-0292
Mailing Address - Fax:913-254-0007
Practice Address - Street 1:7931 BOND ST
Practice Address - Street 2:
Practice Address - City:LENEXA
Practice Address - State:KS
Practice Address - Zip Code:66214-1557
Practice Address - Country:US
Practice Address - Phone:913-754-0888
Practice Address - Fax:913-754-0891
Is Sole Proprietor?:No
Enumeration Date:2006-10-03
Last Update Date:2007-07-09
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
KS2251X0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2251X0800XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical TherapistOrthopedic
Provider Identifiers
StateIdentifier IDID TypeIssuer
KS646300OtherFIRST GUARD GROUP NUMBER
KS140171OtherBLUE CROSS BLUE SHIELD
KS646300OtherFIRST GUARD GROUP NUMBER