| Action Physical Therapy | |
|
200 Main St Halstead KS 67056-1913 | |
| (316) 835-7013 | |
| Not Available |
| Full Name | Action Physical Therapy |
|---|---|
| Speciality | Physical Therapist |
| Location | 200 Main St, Halstead, Kansas |
| Authorized Official Name and Position | Ryan Cook (OWNER) |
| Authorized Official Contact | 3168357013 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Action Physical Therapy 200 Main St Halstead KS 67056-1913 Ph: (316) 835-7013 | Action Physical Therapy 200 Main St Halstead KS 67056-1913 Ph: (316) 835-7013 |
| NPI Number | 1235766023 |
|---|---|
| Provider Enumeration Date | 03/24/2020 |
| Last Update Date | 10/13/2020 |
| Medicare PECOS PAC ID | 2769804848 |
|---|---|
| Medicare Enrollment ID | O20200618000327 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1235766023 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261Q00000X | Clinic/center | (* (Not Available)) | Secondary |
| 225100000X | Physical Therapist | (* (Not Available)) | Primary |
| Provider Name | Ryan T Cook |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1730477191 PECOS PAC ID: 6406028901 Enrollment ID: I20111005000449 |
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