Provider Demographics
NPI:1629287263
Name:VOTH, BRIAN J (RPT)
Entity Type:Individual
Prefix:MR
First Name:BRIAN
Middle Name:J
Last Name:VOTH
Suffix:
Gender:M
Credentials:RPT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
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Other - Credentials:
Mailing Address - Street 1:2504 WESTMINSTER DR
Mailing Address - Street 2:
Mailing Address - City:HUTCHINSON
Mailing Address - State:KS
Mailing Address - Zip Code:67502-2560
Mailing Address - Country:US
Mailing Address - Phone:620-663-8899
Mailing Address - Fax:620-665-6263
Practice Address - Street 1:2504 WESTMINSTER DR
Practice Address - Street 2:
Practice Address - City:HUTCHINSON
Practice Address - State:KS
Practice Address - Zip Code:67502-2560
Practice Address - Country:US
Practice Address - Phone:620-663-8899
Practice Address - Fax:620-665-6263
Is Sole Proprietor?:No
Enumeration Date:2007-05-21
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
KS1103330225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist