Organization
INTERACTIVE PHYSICAL THERAPY LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. RIC A BAIRD PT (OWNER)
(785) 246-2300
Entity
Organization
Contact information
Practice address
4745 NW HUNTERS RIDGE CIR STE D, TOPEKA, KS 66618-2538
(785) 246-2300
(785) 246-2301
Mailing address
3405 NW HUNTERS RIDGE TER STE 300, TOPEKA, KS 66618-2510
(785) 246-2300
(785) 246-2301
Taxonomy
Speciality
Code
Description
License number
State
261QP2000X
Physical Therapy Clinic/Center
Primary
11-02038
KS
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
100447490A
—
KS
01
—
115585
BCBS GROUP NUMBER
KS
Enumeration date
11/24/2006
Last updated
11/21/2013
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