Organization
ADVANCED PT, LLC
Active
Other names
Preferred PT Nampa
Organization subpart
No
Provider details
NPI number
Authorized official
DAVID C TODD PT (OWNER)
(316) 260-6869
Entity
Organization
Contact information
Practice address
430 W IOWA AVE, STE. B, NAMPA, ID 83686-2826
(208) 466-2200
(208) 466-2300
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
PT-2364
ID
Other
Enumeration date
11/07/2009
Last updated
11/10/2009
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