SearchKansas225X00000X

Crystal Ponds, COTA

NPI 1558626465 · on the registry since 2012

Practice

Address
611 31st St
Wilson, KS 67490
Phone
(785) 658-2505
Organisation at this address
Wilson Operator, Llc
Wilson Care And Rehabilitation Center, Llc
Inferred from a shared address, not stated in the registry.
Clinicians at this address
4

Registry record

Primary taxonomy
225X00000X
225X00000X
Licence states on file
KS
From the registry's licence fields, which are often incomplete.
Sex
Female
Record last updated
2012-07-06

Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Kansas