| Advanced Pt Lyons Llc | |
|
118 W Commercial St, Lyons, KS 67554-2718 | |
| (620) 257-1103 | |
| (620) 257-1104 |
| Full Name | Advanced Pt Lyons Llc |
|---|---|
| Type | Facility |
| Speciality | Physical Therapist |
| Location | 118 W Commercial St, Lyons, Kansas |
| Accepts Medicare Assignments | Does not participate in Medicare Program. The facility may not accept medicare assignment. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1417988759 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 225100000X | Physical Therapist | 11-02214 (Kansas) | Primary |
| Mailing Address | Practice Location Address |
|---|---|
| Advanced Pt Lyons Llc 200 W Douglas, Ste 1040, Wichita, KS 67202-3017 Ph: (316) 263-0003 | Advanced Pt Lyons Llc 118 W Commercial St, Lyons, KS 67554-2718 Ph: (620) 257-1103 |
Karla D Peter, P.T. Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 118 W Commercial St, Lyons, KS 67554 Phone: 620-257-1103 Fax: 620-257-1104 | |
Carl M Patrnchak, PT Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 400 W Main St, Lyons, KS 67554 Phone: 785-534-2279 |