Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Alice Chiedzo Hakata, PTMED

Individual provider Physical Therapist · NPI 1003169301

Alice Chiedzo Hakata, PTMED is a Physical Therapist in Wichita, Kansas. Practices as a sole proprietor. Licensed in Kansas and Texas.

Licensed in
KS, TX
In the registry since
2012
Specialties on file
2
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Practice location Address checks out

2828 N Governeour Larksfield Pl
Wichita, KS 67226
Phone: (316) 636-1111
Fax: (316) 858-3971
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Physical Therapist (primary) Taxonomy 225100000X · Licence 11-04451 (KS)
Physical Therapist Taxonomy 225100000X · Licence 1079937 (TX)

Record details

NPI number1003169301
Entity typeIndividual (Type 1)
GenderFemale
Credentials PTMED
Sole proprietorYes
NPI enumeratedOctober 24, 2012
Last updated in NPPESOctober 24, 2012

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