Provider Demographics
NPI:1447233838
Name:NEU PHYSICAL THERAPY INC
Entity Type:Organization
Organization Name:NEU PHYSICAL THERAPY INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER/OPERATOR
Authorized Official - Prefix:
Authorized Official - First Name:LYDIA
Authorized Official - Middle Name:L
Authorized Official - Last Name:NEU
Authorized Official - Suffix:
Authorized Official - Credentials:RPT
Authorized Official - Phone:785-842-3444
Mailing Address - Street 1:1305 WAKARUSA DR
Mailing Address - Street 2:
Mailing Address - City:LAWRENCE
Mailing Address - State:KS
Mailing Address - Zip Code:66049-3830
Mailing Address - Country:US
Mailing Address - Phone:785-842-3444
Mailing Address - Fax:785-842-3410
Practice Address - Street 1:930 AMES ST
Practice Address - Street 2:
Practice Address - City:BALDWIN CITY
Practice Address - State:KS
Practice Address - Zip Code:66006-8232
Practice Address - Country:US
Practice Address - Phone:785-594-4100
Practice Address - Fax:785-594-2600
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2005-11-21
Last Update Date:2012-02-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical TherapistGroup - Multi-Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
KS100211080AMedicaid
KS100211080AMedicaid