Organization
ADVANCED PT LLC
Active
Other names
Advanced PT Independence
Organization subpart
No
Provider details
NPI number
Authorized official
DAVID C TODD PT (PT/OWNER)
(316) 263-0003
Entity
Organization
Contact information
Practice address
118 W MAIN ST, INDEPENDENCE, KS 67301-3511
(620) 331-0999
(620) 331-1065
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
—
—
332B00000X
Durable Medical Equipment & Medical Supplies
—
—
Other
Enumeration date
11/19/2007
Last updated
03/05/2014
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