Advanced PT Hendrickson
Organization Active NPI Physical Therapist · Newton, KS
NPI 1982888905 · NPPES record last updated Dec 27, 2007
Key facts
- NPI
- 1982888905
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Physical Therapist 225100000X
- License
- 11-01015 (KS)
- Legal business name
- ADVANCED PT HENDRICKSON
- Practice address
- 508 N Main St
Newton, KS 67114-2229 - Phone
- (316) 263-0003
- Fax
- (316) 263-1241
- NPI assigned
- Dec 27, 2007
- Organization subpart
- No
Authorized official
- Name
- David C Todd, PT
- Title
- Owner
- Phone
- (316) 263-0003
Practitioners 1
-
Jerry L Pomeroy, PT
National Provider Directory
Locations
508 N Main St
Newton, KS 67114
Phone (316) 283-6363
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapist |
225100000X | 11-01015 | KS | Yes |
Addresses
Primary practice location
508 N Main St
Newton, KS 67114-2229
Mailing address
200 W Douglas Ave
Ste 1040
Wichita, KS 67202-3013
Phone (316) 263-0003
Other providers in Newton, KS
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Dec 27, 2007. 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.