Organization
ADVANCED PT, LLC
Active
Other names
Advanced PT Coffeyville
Organization subpart
No
Provider details
NPI number
Authorized official
DAVID C. TODD (OWNER / PHYSICAL THERAPIST)
(316) 263-0003
Entity
Organization
Contact information
Practice address
1503 W 11TH ST, COFFEYVILLE, KS 67337-3622
(620) 808-3332
(620) 331-1605
Mailing address
200 W DOUGLAS AVE STE 1040, WICHITA, KS 67202-3017
(316) 263-0003
(316) 263-1241
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
—
—
225X00000X
Occupational Therapist
—
—
Other
Enumeration date
06/07/2017
Last updated
06/07/2017
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