Organization
SOUTHEAST KANSAS ORTHOPEDIC AND SPORTS PHYSICAL THERAPY, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
WILLIAM B. ALLEN PT (PRESIDENT)
(620) 223-4555
Entity
Organization
Contact information
Practice address
1623 S MAIN ST, FORT SCOTT, KS 66701-2656
(620) 223-4555
Mailing address
PO BOX 14, FORT SCOTT, KS 66701-0014
(620) 223-4555
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
11-02934
KS
225100000X
Physical Therapist
Primary
24-00361
KS
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
115683
BCBS GROUP
KS
05
—
200421170A
—
KS
Enumeration date
09/21/2006
Last updated
07/24/2025
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