Provider Demographics
NPI:1124703178
Name:HEARTLAND THERAPY SOLUTIONS LLC
Entity type:Organization
Organization Name:HEARTLAND THERAPY SOLUTIONS LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:MANAGER
Authorized Official - Prefix:
Authorized Official - First Name:JOHN
Authorized Official - Middle Name:MBUGUA
Authorized Official - Last Name:WANJIGI
Authorized Official - Suffix:
Authorized Official - Credentials:CPTA
Authorized Official - Phone:316-990-0033
Mailing Address - Street 1:834 S BEDFORD CT
Mailing Address - Street 2:
Mailing Address - City:WICHITA
Mailing Address - State:KS
Mailing Address - Zip Code:67207-4319
Mailing Address - Country:US
Mailing Address - Phone:316-990-0033
Mailing Address - Fax:
Practice Address - Street 1:834 S BEDFORD CT
Practice Address - Street 2:
Practice Address - City:WICHITA
Practice Address - State:KS
Practice Address - Zip Code:67207-4319
Practice Address - Country:US
Practice Address - Phone:316-990-0033
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2023-06-19
Last Update Date:2024-04-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes225200000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapy AssistantGroup - Single Specialty