Organization
ADVANCED PT, LLC
Active
Other names
Advanced PT Northeast
Organization subpart
No
Provider details
NPI number
Authorized official
DAVID CHARLES TODD (CEO)
(316) 263-0003
Entity
Organization
Contact information
Practice address
7111 E 21ST ST N STE 103, WICHITA, KS 67206-1090
(316) 269-1311
(316) 269-1588
Mailing address
200 W DOUGLAS AVE STE 250, WICHITA, KS 67202-3002
(316) 263-0003
(316) 263-1241
Taxonomy
Speciality
Code
Description
License number
State
261QP2000X
Physical Therapy Clinic/Center
Primary
—
—
332B00000X
Durable Medical Equipment & Medical Supplies
—
—
Other
Enumeration date
03/08/2021
Last updated
03/12/2021
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