| Organization Name: | LIUDAHL BACHMAN & HOOVER, INC |
| NPI Number: | 1134398803 |
| Entity Type Code: | Organizational (2) |
| Authorized Official Name: | DAVE WILLIAM LIUDAHL (PHYSICAL THERAPIST) |
| Mailing Address: | 611 E Main St Gardner |
| State: | KS US |
| Postal Code: | 660301251 |
| Phone Number: | 9138846755 |
| Fax Number: | 9138846756 |
| NPI Enumeration Date: | 02/26/2008 |
| NPI Last Update Date: | 02/26/2008 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 261QP2000X |
| License Number: | 11-02829 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | KS |
| Taxonomy Type: | Ambulatory Health Care Facilities |
| Taxonomy Classification: | Clinic/Center |
| Taxonomy Specialization: | Physical Therapy |
| Taxonomy Definition: | |