Organization
SOUTHEAST KANSAS ORTHOPEDIC AND SPORTS PHYSICAL THERAPY, LLC
Active
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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