Organization
ADVANCED PT, LLC
Active
Other names
Advanced PT Park City
Organization subpart
No
Provider details
NPI number
Authorized official
DAVID CHARLES TODD (OWNER)
(316) 263-0003
Entity
Organization
Contact information
Practice address
1755 E 61ST ST N, PARK CITY, KS 67219-1917
(316) 361-5425
(316) 361-3615
Mailing address
200 W DOUGLAS AVE STE 1040, WICHITA, KS 67202-3017
(316) 263-0003
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
—
—
225X00000X
Occupational Therapist
—
—
Other
Enumeration date
10/10/2019
Last updated
10/10/2019
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