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

Tanner Cusick

Individual provider Physical Therapy Assistant · NPI 1346756863

Tanner Cusick is a Physical Therapy Assistant in Derby, Kansas. Licensed in Kansas. Registered with an NPI since 2017.

Licensed in
KS
In the registry since
2017

Practice location Address checks out

608 N Mulberry Rd
Derby, KS 67037-3532
Phone: (316) 202-0996
Fax: (316) 202-0997
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Physical Therapy Assistant (primary) Taxonomy 225200000X · Licence 1403327 (KS)

Record details

NPI number1346756863
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorNo
NPI enumeratedDecember 20, 2017
Last updated in NPPESDecember 20, 2017
Mailing address200 W Douglas Ave Ste 1040, Wichita, KS 67202-3017

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