David William Liudahl, PT

Primary specialty

MechanotherapistTaxonomy code 172M00000X

License

11-02829 Issued in KS

Practice address

611 E Main St
Gardner, KS 66030-1251

Phone

(913) 884-6755

Fax

(913) 884-6756

NPI assigned

Dec 26, 2007

Last updated

May 21, 2009By the provider in NPPES

Sex

Male

Sole proprietor

Yes

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

State licenses

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1198627200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1242864000000",
    "number": "1659555647",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "611 E MAIN ST",
            "city": "GARDNER",
            "state": "KS",
            "postal_code": "660301251",
            "telephone_number": "913-884-6755",
            "fax_number": "913-884-6756"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "611 E MAIN ST",
            "city": "GARDNER",
            "state": "KS",
            "postal_code": "660301251",
            "telephone_number": "913-884-6755",
            "fax_number": "913-884-6756"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LIUDAHL",
        "first_name": "DAVID",
        "middle_name": "WILLIAM",
        "name_prefix": "Mr.",
        "credential": "PT",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-12-26",
        "last_updated": "2009-05-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "172M00000X",
            "taxonomy_group": "",
            "desc": "Mechanotherapist",
            "state": "KS",
            "license": "11-02829",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Gary Lasley Jr., LMSW
• Sara Latos
• Lindsay Brianna Lee, RDH
• Douglas H Lerner, DDS
• Liudahl Bachman & Hoover, Inc (Gardner Physical Therapy)
• Shawna L Loomis, OTR
• Ryan Luong, M.D.
• Greg M Markway, D.D.S.
• Elizabeth Mayer
• Eric J Mayuga, DDS

• Mechanotherapist in Gardner, KS
• Providers in Gardner, KS by specialty
• Mechanotherapist in Kansas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 21, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.