Organization
THE MAX THERAPY CENTER, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
SUSAN CAMPBELL MPT (OWNER/CEO)
(256) 810-8290
Entity
Organization
Contact information
Practice address
101 E ELM ST, COLUMBUS, KS 66725-1820
(256) 810-8290
Mailing address
101 E ELM ST, COLUMBUS, KS 66725-1820
(620) 429-4629
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
—
—
225X00000X
Occupational Therapist
—
—
235Z00000X
Speech-Language Pathologist
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1013241108
—
KS
Enumeration date
01/25/2021
Last updated
06/23/2021
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