Advanced Pt Lyons LLC

NPI #1417988759 in Lyons, Kansas

Provider Information

NPI Number: 1417988759
Entity Type: Organization
Organization Name: Advanced Pt Lyons LLC
Primary Specialty: Physical Therapist
Enumeration Date: Jul 5, 2006
Last Updated: Oct 15, 2007

Practice Location

Address: 118 W COMMERCIAL ST
City: Lyons
State: Kansas
ZIP Code: 67554-2718
Phone: (620) 257-1103

Authorized Official

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

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Physical Therapist	225100000X	Primary

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