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

Antonio De Jesus Carrasco

Individual provider Physical Therapy Assistant · NPI 1265104632

Antonio De Jesus Carrasco is a Physical Therapy Assistant in Great Bend, Kansas. Practices as a sole proprietor. Licensed in Kansas.

Licensed in
KS
In the registry since
2021
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Practice location Address checks out

1818 Baker Ave
Great Bend, KS 67530-2726
Phone: (620) 617-3259
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Physical Therapy Assistant (primary) Taxonomy 225200000X · Licence 14-03867 (KS)

Record details

NPI number1265104632
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorYes
NPI enumeratedOctober 4, 2021
Last updated in NPPESOctober 4, 2021
Certification dateOctober 4, 2021

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