Advanced Pt LLC
Physical Therapist in Wichita, KS. Organization (NPI-2).
NPI number1750312161
StatusActive
Last updated in NPPESOct 10, 2007
Details
- NPI
- 1750312161
- Entity type
- Organization (NPI-2)
- Legal business name
- Advanced Pt LLC
- Organization subpart
- No
- Enumeration date
- Jul 5, 2006
- Last updated
- Oct 10, 2007
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 225100000X | Physical Therapist | 11-021269 | KS | Yes |
Other names
- Advanced Pt Maple Ridge (Doing Business As)
Practice location
200 W Douglas AveSte 1040
Wichita, KS 67202-3013
Phone 316-263-0003 · Fax 316-263-1241
Mailing address
7130 W Maple StSte 200
Wichita, KS 67209-2101
Phone 316-944-0022 · Fax 316-944-0020
Authorized official
Sharon Bertha Roseberry
Physical Therapist
3169440022
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