Organization
LEAVENWORTH PHYSICAL THERAPY LLC
Active
Organization
LEAVENWORTH PHYSICAL THERAPY LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. CARL TYLER NOLL PT, DPT (OWNER/PHYSICAL THERAPIST)
(913) 210-0734
Entity
Organization
Contact information
Practice address
2127 MAGNOLIA DR, LEAVENWORTH, KS 66048-7732
(913) 210-0734
Mailing address
2127 MAGNOLIA DR, LEAVENWORTH, KS 66048-7732
(913) 683-9344
Taxonomy
Speciality
Code
Description
License number
State
261QP2000X
Physical Therapy Clinic/Center
Primary
—
—
Other
Enumeration date
05/10/2022
Last updated
05/16/2022
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