Organization
ADVANCED PT HENDRICKSON
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DAVID C TODD PT (OWNER)
(316) 263-0003
Entity
Organization
Contact information
Practice address
508 N MAIN ST, NEWTON, KS 67114-2229
(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
11-01015
KS
Other
Enumeration date
12/27/2007
Last updated
12/27/2007
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