| Organization Name: | SERC OF LANSING |
| NPI Number: | 1952586430 |
| Entity Type Code: | Organizational (2) |
| Authorized Official Name: | JASON S LANGFORD (CLINIC MANAGER) |
| Mailing Address: | 1004 Progress Dr Suite 100 Lansing |
| State: | KS US |
| Postal Code: | 660436326 |
| Phone Number: | 9133513838 |
| Fax Number: | 9133513939 |
| NPI Enumeration Date: | 01/03/2008 |
| NPI Last Update Date: | 11/01/2012 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 225100000X |
| License Number: | 11-03375 |
| 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 |