Organization
PREFERRED PT, LLC
Active
Organization
PREFERRED PT, LLC
Active
Other names
Preferred PT State Avenue
Organization subpart
No
Provider details
NPI number
Authorized official
KAREN E WILSON PT (CEO)
(316) 263-0003
Entity
Organization
Contact information
Practice address
8437 STATE AVE STE B, KANSAS CITY, KS 66112-1851
(913) 299-9616
(913) 299-9617
Mailing address
200 W DOUGLAS AVE STE 1040, WICHITA, KS 67202-3017
(316) 263-0003
(316) 263-0003
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
—
—
225X00000X
Occupational Therapist
—
—
261QP2000X
Physical Therapy Clinic/Center
Primary
—
—
Other
Enumeration date
06/09/2021
Last updated
11/28/2022
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