Organization
PELVIC HEALTH PT BY PHOENIX LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
LOGAN MADDING (DIRECTOR OF BUSINESS OPERATIONS)
(316) 260-3311
Entity
Organization
Contact information
Practice address
12627 E CENTRAL AVE STE 308, WICHITA, KS 67206-2839
(316) 260-3311
(316) 260-6696
Mailing address
12627 E CENTRAL AVE STE 308, WICHITA, KS 67206-2839
Taxonomy
Speciality
Code
Description
License number
State
261QP2000X
Physical Therapy Clinic/Center
Primary
—
—
Other
Enumeration date
09/13/2024
Last updated
09/13/2024
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