Provider Demographics
NPI:1700306578
Name:STRAND, ELVA L (PTA)
Entity Type:Individual
Prefix:
First Name:ELVA
Middle Name:L
Last Name:STRAND
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 1:100 E HELEN ST
Mailing Address - Street 2:
Mailing Address - City:HERINGTON
Mailing Address - State:KS
Mailing Address - Zip Code:67449-1606
Mailing Address - Country:US
Mailing Address - Phone:785-258-5146
Mailing Address - Fax:785-258-5944
Practice Address - Street 1:100 E HELEN ST
Practice Address - Street 2:
Practice Address - City:HERINGTON
Practice Address - State:KS
Practice Address - Zip Code:67449-1606
Practice Address - Country:US
Practice Address - Phone:785-258-5146
Practice Address - Fax:785-258-5944
Is Sole Proprietor?:No
Enumeration Date:2017-06-22
Last Update Date:2017-06-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
KS14-00225225200000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225200000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapy Assistant