Organization
ADVANCED PT LLC
Active
Other names
Advanced PT Haysville
Organization subpart
No
Provider details
NPI number
Authorized official
DAVID C TODD P.T. (OWNER)
(316) 263-0003
Entity
Organization
Contact information
Practice address
260 N MAIN ST, BLDG 100B, HAYSVILLE, KS 67060-1272
(316) 524-3738
(316) 522-2752
Mailing address
200 W DOUGLAS AVE, STE 1040, WICHITA, KS 67202-3017
(316) 263-0003
(316) 263-1241
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
11-01487
KS
332B00000X
Durable Medical Equipment & Medical Supplies
—
—
Other
Enumeration date
04/25/2007
Last updated
03/14/2014
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