Individual
MR. DAVID WILLIAM LIUDAHL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PT
Contact information
Practice address
611 E MAIN ST, GARDNER, KS 66030-1251
(913) 884-6755
(913) 884-6756
Mailing address
611 E MAIN ST, GARDNER, KS 66030-1251
(913) 884-6755
(913) 884-6756
Taxonomy
Speciality
Code
Description
License number
State
172M00000X
Mechanotherapist
Primary
11-02829
KS
Other
Enumeration date
12/26/2007
Last updated
05/21/2009
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