Organization
BIRD PHYSICAL THERAPY PA
Active
Organization
BIRD PHYSICAL THERAPY PA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
KEVIN BIRD MSPT (PHYSICAL THERAPIST)
(785) 331-0106
Entity
Organization
Contact information
Practice address
535 GATEWAY DR, LAWRENCE, KS 66049-2342
(785) 331-0106
Mailing address
535 GATEWAY DR, LAWRENCE, KS 66049-2342
(785) 331-0106
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
100316840-B
—
KS
Enumeration date
07/07/2005
Last updated
08/04/2008
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