Provider Demographics
NPI:1073822086
Name:TOWER PHYSICAL THERAPY, LLC
Entity Type:Organization
Organization Name:TOWER PHYSICAL THERAPY, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER / PHYSICAL THERAPIST
Authorized Official - Prefix:PROF
Authorized Official - First Name:BRIAN
Authorized Official - Middle Name:J
Authorized Official - Last Name:HELLEBUSCH
Authorized Official - Suffix:
Authorized Official - Credentials:PT
Authorized Official - Phone:816-674-7954
Mailing Address - Street 1:POST OFFICE BOX 26634
Mailing Address - Street 2:
Mailing Address - City:OVERLAND PARK
Mailing Address - State:KS
Mailing Address - Zip Code:66210-2323
Mailing Address - Country:US
Mailing Address - Phone:913-906-8656
Mailing Address - Fax:913-906-8151
Practice Address - Street 1:7600 W 110TH ST
Practice Address - Street 2:SUITE 206
Practice Address - City:OVERLAND PARK
Practice Address - State:KS
Practice Address - Zip Code:66225-5322
Practice Address - Country:US
Practice Address - Phone:913-906-8656
Practice Address - Fax:913-906-8151
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2010-09-26
Last Update Date:2010-10-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical TherapistGroup - Single Specialty