Provider Demographics
NPI:1750741559
Name:STITES, ANN
Entity type:Individual
Prefix:
First Name:ANN
Middle Name:
Last Name:STITES
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2614 MANOR TER
Mailing Address - Street 2:
Mailing Address - City:LAWRENCE
Mailing Address - State:KS
Mailing Address - Zip Code:66046-4283
Mailing Address - Country:US
Mailing Address - Phone:785-766-9961
Mailing Address - Fax:785-295-5415
Practice Address - Street 1:ST. FRANCIS HEALTH CENTER
Practice Address - Street 2:6TH AND MULVANE, MULVANE BUILDING, SUITE 404
Practice Address - City:TOPEKA
Practice Address - State:KS
Practice Address - Zip Code:66606-1690
Practice Address - Country:US
Practice Address - Phone:785-295-8045
Practice Address - Fax:785-295-5415
Is Sole Proprietor?:Yes
Enumeration Date:2016-03-07
Last Update Date:2016-03-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
KS11-00929225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist
Provider Identifiers
StateIdentifier IDID TypeIssuer
KS11-00929OtherPHYSICAL THERAPIST