Provider Demographics
NPI:1215092267
Name:EWELL, NONA SALDANA (PT, MPT)
Entity type:Individual
Prefix:
First Name:NONA
Middle Name:SALDANA
Last Name:EWELL
Suffix:
Gender:F
Credentials:PT, MPT
Other - Prefix:
Other - First Name:NONA
Other - Middle Name:BETH
Other - Last Name:SALDANA
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:PT, MPT
Mailing Address - Street 1:1200 CORPORATE DR STE 400
Mailing Address - Street 2:
Mailing Address - City:HOOVER
Mailing Address - State:AL
Mailing Address - Zip Code:35242-5424
Mailing Address - Country:US
Mailing Address - Phone:423-238-7217
Mailing Address - Fax:
Practice Address - Street 1:12755 S MUR LEN RD STE B1
Practice Address - Street 2:
Practice Address - City:OLATHE
Practice Address - State:KS
Practice Address - Zip Code:66062-6804
Practice Address - Country:US
Practice Address - Phone:913-782-8729
Practice Address - Fax:913-782-7209
Is Sole Proprietor?:No
Enumeration Date:2006-12-27
Last Update Date:2021-03-31
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA43096225100000X
KS11-06683225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist
Provider Identifiers
StateIdentifier IDID TypeIssuer
IL070-010503OtherPT STATE LICENSE #
IL070-010503OtherPT STATE LICENSE #