Provider Demographics
NPI:1750055109
Name:GROW PHYSICAL THERAPY, LLC
Entity Type:Organization
Organization Name:GROW PHYSICAL THERAPY, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:BRITTANY
Authorized Official - Middle Name:
Authorized Official - Last Name:MCGEARY
Authorized Official - Suffix:
Authorized Official - Credentials:DPT
Authorized Official - Phone:316-371-6324
Mailing Address - Street 1:618 N BAY COUNTRY ST
Mailing Address - Street 2:
Mailing Address - City:WICHITA
Mailing Address - State:KS
Mailing Address - Zip Code:67235-1336
Mailing Address - Country:US
Mailing Address - Phone:316-371-6324
Mailing Address - Fax:
Practice Address - Street 1:618 N BAY COUNTRY ST
Practice Address - Street 2:
Practice Address - City:WICHITA
Practice Address - State:KS
Practice Address - Zip Code:67235-1336
Practice Address - Country:US
Practice Address - Phone:316-371-6324
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2021-08-08
Last Update Date:2021-08-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QP2000XAmbulatory Health Care FacilitiesClinic/CenterPhysical Therapy