Organization
ADVANCED PT LLC
Active
Other names
Advanced PT Northwest Family
Organization subpart
No
Provider details
NPI number
Authorized official
DAVID C TODD P.T. (P.T./OWNER)
(316) 263-0003
Entity
Organization
Contact information
Practice address
3730 N RIDGE RD, STE 500, WICHITA, KS 67205-1233
(316) 440-4901
(316) 440-4904
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
—
—
332B00000X
Durable Medical Equipment & Medical Supplies
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
DF0821
RAILROAD MEDICARE
KS
Enumeration date
07/07/2006
Last updated
03/05/2014
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