Organization
FASTTRACK PHYSICAL THERAPY AND SPORTS REHABILITATION
Active
Organization subpart
No
Provider details
NPI number
Authorized official
CATRINA M WARD (OFFICE MANAGER)
(316) 722-5722
Entity
Organization
Contact information
Practice address
2290 N TYLER RD #300, WICHITA, KS 67215
(316) 722-5722
(316) 722-5734
Mailing address
2290 N TYLER RD #300, WICHITA, KS 67215
(316) 722-5722
(316) 722-5734
Taxonomy
Speciality
Code
Description
License number
State
261QP2000X
Physical Therapy Clinic/Center
Primary
1102111
KS
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
115651
BCBS KS
KS
Enumeration date
02/13/2008
Last updated
01/12/2009
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