Organization
ADVANCED PT LLC
Active
Other names
Preferred PT State Avenue
Organization subpart
No
Provider details
NPI number
Authorized official
DAVID C TODD P.T. (PHYSICAL THERAPIST/OWNER)
(316) 260-6869
Entity
Organization
Contact information
Practice address
8437 STATE AVE, STE B, KANSAS CITY, KS 66112-1842
(913) 299-9616
(913) 299-9617
Mailing address
200 W DOUGLAS, STE 1040, WICHITA, KS 67202-3017
(316) 263-0003
(316) 263-1241
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
DC6719
RETIRED RAILROAD MEDICARE
KS
Enumeration date
07/06/2006
Last updated
07/15/2010
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