Organization
ADVANCED PT INDEPENDENCE LLC
Active
Organization
ADVANCED PT INDEPENDENCE LLC
Active
Other names
Advanced PT Independence
Organization subpart
No
Provider details
NPI number
Authorized official
DAVID C TODD P.T. (OWNER)
(316) 263-0003
Entity
Organization
Contact information
Practice address
800 W CHESTNUT ST, STE 3, INDEPENDENCE, KS 67301-2900
(620) 331-0999
(620) 331-1569
Mailing address
200 W DOUGLAS, STE 1040, WICHITA, KS 67202-3017
(316) 263-0003
(316) 263-1241
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
11-02219
KS
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
DC5870
RAILROAD MEDICARE
KS
Enumeration date
09/25/2006
Last updated
01/17/2008
Update your record
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