Provider Demographics
NPI:1972697423
Name:SALINA PHYSICAL THERAPY, LC
Entity type:Organization
Organization Name:SALINA PHYSICAL THERAPY, LC
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:OFFICE MANAGER
Authorized Official - Prefix:MRS
Authorized Official - First Name:KAREN
Authorized Official - Middle Name:N
Authorized Official - Last Name:DURST
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:785-825-1361
Mailing Address - Street 1:521 S SANTA FE AVE STE A
Mailing Address - Street 2:
Mailing Address - City:SALINA
Mailing Address - State:KS
Mailing Address - Zip Code:67401-4162
Mailing Address - Country:US
Mailing Address - Phone:785-825-1361
Mailing Address - Fax:785-825-0833
Practice Address - Street 1:521-A S. SANTA FE AVE
Practice Address - Street 2:
Practice Address - City:SALINA
Practice Address - State:KS
Practice Address - Zip Code:67401-4188
Practice Address - Country:US
Practice Address - Phone:785-825-1361
Practice Address - Fax:785-825-0833
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:SALINA PHYSICAL THERAPY, LC
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2006-10-02
Last Update Date:2008-07-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical TherapistGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
KS048653OtherBLUE CROSS BLUE SHIELD