Organization Name: | ADVANCED PT HAYSVILLE LLC |
NPI Number: | 1174619902 |
Entity Type Code: | Organizational (2) |
Authorized Official Name: | DAVID C TODD (OWNER) |
Mailing Address: | 207 W Grand Ave Haysville |
State: | KS US |
Postal Code: | 670601228 |
Phone Number: | 3165243738 |
Fax Number: | 3165222752 |
NPI Enumeration Date: | 10/05/2006 |
NPI Last Update Date: | 10/15/2007 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 225100000X |
License Number: | 11-01487 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | KS |
Taxonomy Type: | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
Taxonomy Classification: | Physical Therapist |
Taxonomy Specialization: | |
Taxonomy Definition: | (1) Physical therapists are health care professionals who evaluate and treat people with health problems resulting from injury or disease. PT |