# PHYSICAL THERAPY BY PHOENIX OF SPRINGFIELD LLC

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Physical Therapy by Phoenix
- **Organization subpart:** No

## Provider details

- **NPI number:** 1831785559
- **Authorized official:** SCOTT HARNDEN (EXECUTIVE DIRECTORY OF THERAPY)
- **Authorized official phone:** (913) 967-9820

## Contact information

- **Practice address:** 1839 E INDEPENDENCE ST UNIT R, SPRINGFIELD, MO 65804-3753
- **Practice address phone:** (316) 260-3311
- **Practice address fax:** (316) 260-6696
- **Mailing address:** 12627 E CENTRAL AVE STE 308, WICHITA, KS 67206-2839
- **Mailing address phone:** (316) 260-3311
- **Mailing address fax:** (316) 260-6696

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 261QP2000X | Physical Therapy Clinic/Center | — | NULL | Yes |

## Other

- **Enumeration date:** 12/16/2020
- **Last updated:** 12/16/2020