Organization
EVOLVE SPORTS PHYSICAL THERAPY
Active
Organization
EVOLVE SPORTS PHYSICAL THERAPY
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ABIGAIL HOLMES PT, DPT, ATC (CO-OWNER/DOCTOR OF PHYSICAL THERAPY)
(316) 613-1074
Entity
Organization
Contact information
Practice address
118 E 13TH ST, ANDOVER, KS 67002-9323
(620) 562-0253
Mailing address
2103 E CLOVER CT, ANDOVER, KS 67002
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
—
—
Other
Enumeration date
07/12/2022
Last updated
10/28/2022
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