Organization
ADVANCED PT, LLC
Active
Other names
Advanced PT McPherson
Organization subpart
No
Provider details
NPI number
Authorized official
DAVID CHARLES TODD (CEO / AUTHORIZED OFFICIAL)
(316) 263-0003
Entity
Organization
Contact information
Practice address
400 W 4TH ST, MCPHERSON, KS 67460-2300
(620) 241-4201
(620) 241-4210
Mailing address
200 W DOUGLAS AVE STE 250, WICHITA, KS 67202-3002
(316) 263-0003
(316) 263-1241
Taxonomy
Speciality
Code
Description
License number
State
261QP2000X
Physical Therapy Clinic/Center
Primary
—
—
332B00000X
Durable Medical Equipment & Medical Supplies
—
—
Other
Enumeration date
03/08/2021
Last updated
03/12/2021
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