Healthcare Provider Details

I. General information

NPI: 1700764636
Provider Name (Legal Business Name): TOETAL CARE LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 08/27/2025
Last Update Date: 09/10/2025
Certification Date: 09/10/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

143 SW 20TH ST
PRATT KS
67124
US

IV. Provider business mailing address

143 SW 20TH ST
PRATT KS
67124
US

V. Phone/Fax

Practice location:
  • Phone: 913-967-9669
  • Fax:
Mailing address:
  • Phone: 913-967-9669
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code163WX0800X
TaxonomyOrthopedic Registered Nurse
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code207XX0004X
TaxonomyOrthopaedic Foot and Ankle Surgery Physician
License Number
License Number State
# 3
Primary TaxonomyN
Taxonomy Code208D00000X
TaxonomyGeneral Practice Physician
License Number
License Number State

VIII. Authorized Official

Name: RITCHEY SIMON
Title or Position: OWNER
Credential:
Phone: 913-967-9669