Healthcare Provider Details

I. General information

NPI: 1447233838
Provider Name (Legal Business Name): NEU PHYSICAL THERAPY INC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 11/21/2005
Last Update Date: 02/15/2012
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

930 AMES ST
BALDWIN CITY KS
66006-8232
US

IV. Provider business mailing address

1305 WAKARUSA DR
LAWRENCE KS
66049-3830
US

V. Phone/Fax

Practice location:
  • Phone: 785-594-4100
  • Fax: 785-594-2600
Mailing address:
  • Phone: 785-842-3444
  • Fax: 785-842-3410

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code225100000X
TaxonomyPhysical Therapist
License Number
License Number State

VIII. Authorized Official

Name: LYDIA L NEU
Title or Position: OWNER/OPERATOR
Credential: RPT
Phone: 785-842-3444