| Doctor Name: | DYLAN A PADBERG |
| NPI Number: | 1730336314 |
| Entity Type Code: | Individual (1) |
| Gender: | M |
| Credentials: | DPT |
| License Number: | 1103880 |
| Business Practice Address: | 14802 Shamrock Way Ste C Smithville, MO - 640898381 |
| Business Phone Number: | 8168731100 |
| Business Fax Number: | 8163995796 |
| Mailing Address: | 17134 Bel Ray Pl, BELTON |
| State: | MO |
| Postal Code: | 640125331 |
| Phone Number: | 8162264011 |
| Fax Number: | 8165246115 |
| NPI Enumeration Date: | 08/26/2008 |
| NPI Last Update Date: | 01/28/2014 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 225100000X |
| License Number: | 1103880 |
| Healthcare Provider Taxonomy: (Secondary) | N |
| 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 |