Evolve Sports Physical Therapy
Organization Active NPI Physical Therapist · Andover, KS
NPI 1457085870 · NPPES record last updated Oct 28, 2022
Key facts
- NPI
- 1457085870
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Physical Therapist 225100000X
- Legal business name
- EVOLVE SPORTS PHYSICAL THERAPY
- Practice address
- 118 E 13TH St
Andover, KS 67002-9323 - Phone
- (620) 562-0253
- NPI assigned
- Jul 12, 2022
- Organization subpart
- No
Authorized official
- Name
- Abigail Holmes, PT, DPT, ATC
- Title
- Co-Owner/Doctor of Physical Therapy
- Phone
- (316) 613-1074
Practitioners 1
-
Abigail K Holmes, DPT, ATC
National Provider Directory
Locations
118 E 13th St
Andover, KS 67002
Phone (620) 562-0253
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapist |
225100000X | Yes |
Addresses
Primary practice location
118 E 13TH St
Andover, KS 67002-9323
Mailing address
2103 E Clover CT
Andover, KS 67002
Other providers in Andover, KS
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Oct 28, 2022. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.