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Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

MS. DIANE ETZEL-WISE, CTRS

Active

MS. DIANE ETZEL-WISE, CTRS is a Recreation Therapist healthcare provider located in LENEXA, Kansas. NPI 1346364676 is currently active in the NPPES registry. Verify at CMS.

Recreation Therapist · LENEXA, KS

Registration Details

NPI Number
1346364676
Provider Type
Individual
Gender
Female
NPI Issued
Mar 19, 2007 (19.374394656088 yrs)
Last Updated
Jul 8, 2007

Practice Information

Address
7737 DARNELL ST
LENEXA, KS, 662163705
Browse KS providers · Browse ZIP 66216
Phone
9132683953
Primary Specialty
Recreation Therapist
225800000X
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.