Provider Demographics
NPI:1215073176
Name:FAHEY, APRIL D (RPT)
Entity type:Individual
Prefix:
First Name:APRIL
Middle Name:D
Last Name:FAHEY
Suffix:
Gender:F
Credentials:RPT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:105 W RR
Mailing Address - Street 2:
Mailing Address - City:CLIFTON
Mailing Address - State:KS
Mailing Address - Zip Code:66937
Mailing Address - Country:US
Mailing Address - Phone:785-455-3413
Mailing Address - Fax:
Practice Address - Street 1:105 N HIGHWAY 99 & MAIN
Practice Address - Street 2:
Practice Address - City:WESTMORELAND
Practice Address - State:KS
Practice Address - Zip Code:66549
Practice Address - Country:US
Practice Address - Phone:785-457-3817
Practice Address - Fax:785-457-3817
Is Sole Proprietor?:No
Enumeration Date:2007-01-29
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
KSN075005225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist