Western Legacy Physical Therapy, LLC

NPI #1790674802 in Cimarron, Kansas

Provider Information

NPI Number
1790674802
Entity Type
Organization
Organization Name
Western Legacy Physical Therapy, LLC
Primary Specialty
Clinic/Center - Physical Therapy
Enumeration Date
Jul 2, 2025
Last Updated
Jul 24, 2025

Practice Location

Address
700 WEST AVENUE A
State
Kansas
ZIP Code
67835
Phone
(620) 855-6060

Authorized Official

Name
BROOKE NICOLE FAIRBANK, PT, DPT
Title
PHYSICAL THERAPIST, OWNER
Phone
(620) 855-6060

Specialties & Taxonomy Codes

Specialty
Clinic/Center - Physical TherapyPhysical Therapy

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