Organization
ADVANCED PT, LLC
Active
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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