MEDICARE: MRS. LAURA MCKAIG PT

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	225100000X	Physical Therapist	11-01719	KS

General Provider Information

NPI Number	:	1336522234
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MRS. LAURA MCKAIG PT

Provider Business Mailing Address
First Line	:	821 E PIATT LN
Second Line	:
City	:	OLATHE
State	:	KS
Zip	:	66061-2917
Country	:	US
Telephone Number	:	913-782-0029
Fax Number	:

Provider Business Practice Location Address
First Line	:	130 N CHERRY ST STE 203
Second Line	:
City	:	OLATHE
State	:	KS
Zip	:	66061-3460
Country	:	US
Telephone Number	:	913-940-3923
Fax Number	:	913-498-9646

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	07/09/2015
Last Update Date	:	05/26/2022

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