| Leif Erick Sanford, | |
|
100 E Kansas St Ste C, Lansing, KS 66043-1610 | |
| (913) 758-0283 | |
| Not Available |
| Full Name | Leif Erick Sanford |
|---|---|
| Gender | Male |
| Speciality | Physical Therapist |
| Location | 100 E Kansas St Ste C, Lansing, Kansas |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1154875540 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 225100000X | Physical Therapist | 2023010743 (Missouri) | Secondary |
| 225100000X | Physical Therapist | 11-02913 (Kansas) | Primary |
| Provider Name | Select Physical Therapy Holdings Inc |
|---|---|
| Provider Type | Part B Supplier - Physical/occupational Therapy Group In Private Practice |
| Provider Identifiers | NPI Number: 1104336338 PECOS PAC ID: 9537076401 Enrollment ID: O20130610000192 |
| Mailing Address | Practice Location Address |
|---|---|
| Leif Erick Sanford, 100 E Kansas St Ste C, Lansing, KS 66043-1610 Ph: (913) 758-0283 | Leif Erick Sanford, 100 E Kansas St Ste C, Lansing, KS 66043-1610 Ph: (913) 758-0283 |
Katherine Marie Martin, DPT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 712 1st Ter, Ste 103, Lansing, KS 66043 Phone: 913-727-2022 Fax: 913-727-2033 | |
Mike A Mendiola, BS Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 1004 Progress Dr, Ste 100, Lansing, KS 66043 Phone: 913-351-3838 Fax: 913-351-3939 | |
Trisha M. Mcculloch, DPT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 712 1st Ter, Ste 103, Lansing, KS 66043 Phone: 913-727-2022 Fax: 913-727-2033 | |
Erin Katie Idacavage, PT, MPT, GCS Physical Therapist Medicare: Medicare Enrolled Practice Location: 1004 Progress Dr Ste 100, Lansing, KS 66043 Phone: 913-351-3838 Fax: 913-351-3939 | |
Linda A Stelter, RPT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 210 N Plaza Dr, Lansing, KS 66043 Phone: 913-727-1284 | |
Jason S Langford, MPT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 1004 Progress Dr, Suite 100, Lansing, KS 66043 Phone: 913-351-3838 Fax: 913-351-3939 |