Advanced Pt Haysville LLC

NPI #1174619902 in Haysville, Kansas

Provider Information

NPI Number: 1174619902
Entity Type: Organization
Organization Name: Advanced Pt Haysville LLC
Primary Specialty: Physical Therapist
Enumeration Date: Oct 5, 2006
Last Updated: Oct 15, 2007

Practice Location

Address: 207 W GRAND AVE
City: Haysville
State: Kansas
ZIP Code: 67060-1228
Phone: (316) 524-3738

Authorized Official

Name: DAVID C TODD, P.T.
Title: OWNER
Phone: (316) 260-6869

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Physical Therapist	225100000X	Primary

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