| NPI | 1356645071 |
|---|---|
| Doing Business As | ADVANCED PT LEGACY PARK |
| Entity Type | Organization |
| Authorized Contact | DAVID C. TODD Owner 316-263-0003 |
| Organization Subpart ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: KS 11-03843) |
| Additional Taxonomies | 332B00000X Durable Medical Equipment & Medical Supplies |
| Enumeration Date | 2011-01-10 |
| Last Update Date | 2014-03-05 |