Organization
ADVANCED PT, LLC
Active
Other names
Advanced PT Legacy Park
Organization subpart
No
Provider details
NPI number
Authorized official
DAVID C. TODD MPT (OWNER)
(316) 263-0003
Entity
Organization
Contact information
Practice address
2081 N WEBB RD, WICHITA, KS 67206-3411
(316) 269-1311
(316) 269-1588
Mailing address
200 W DOUGLAS AVE, STE 1040, WICHITA, KS 67202-3013
(316) 263-0003
(316) 263-1241
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
11-03843
KS
332B00000X
Durable Medical Equipment & Medical Supplies
—
—
Other
Enumeration date
01/10/2011
Last updated
03/05/2014
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