# TULSA MEDICAL & LLC

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

## Provider details

- **NPI number:** 1902166622
- **Authorized official:** TODD HENRY ECK (OWNER)
- **Authorized official phone:** (316) 722-4776

## Contact information

- **Practice address:** 2260 N RIDGE RD, SUITE 100, WICHITA, KS 67205-1132
- **Practice address phone:** (316) 722-4776
- **Practice address fax:** (316) 722-4082
- **Mailing address:** 2260 N RIDGE RD, SUITE 100, WICHITA, KS 67205-1132
- **Mailing address phone:** (316) 722-4776
- **Mailing address fax:** (316) 722-4082

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 225400000X | Rehabilitation Practitioner | — | KS | Yes |

## Other

- **Enumeration date:** 05/29/2012
- **Last updated:** 05/29/2012