Organization
ADVANCED PT, LLC
Active
Organization
ADVANCED PT, LLC
Active
Other names
Advanced PT Aquatic Rehab
Organization subpart
No
Provider details
NPI number
Authorized official
DAVID TODD MPT (PHYSICAL THERAPIST/OWNER)
(316) 263-0003
Entity
Organization
Contact information
Practice address
3460 N RIDGE RD, STE 80, WICHITA, KS 67205-1222
(316) 263-0003
(316) 263-1241
Mailing address
200 W DOUGLAS AVE, STE 1040, WICHITA, KS 67202-3013
(316) 263-0003
(316) 263-1241
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
—
—
225X00000X
Occupational Therapist
—
—
332B00000X
Durable Medical Equipment & Medical Supplies
—
—
Other
Enumeration date
06/16/2015
Last updated
09/02/2016
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