# SUN LAKES PHYSICAL THERAPY INC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1255493334
- **Authorized official:** MR. ROBERT CHAPMAN (PRESIDENT)
- **Authorized official phone:** (660) 438-6993

## Contact information

- **Practice address:** 204 SEMINARY ST, WARSAW, MO 65355
- **Practice address phone:** (660) 438-6993
- **Practice address fax:** (660) 438-6943
- **Mailing address:** PO BOX 383, WARSAW, MO 65355-0383
- **Mailing address phone:** (660) 438-6993
- **Mailing address fax:** (660) 438-6943

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 261QR0400X | Rehabilitation Clinic/Center | 01989 | MO | Yes |

## Other

- **Enumeration date:** 12/14/2006
- **Last updated:** 04/13/2010

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 05 | — | 578490005 | — | MO |