Provider Demographics
NPI:1891074696
Name:BERRYHILL, LAURA L (DPT)
Entity Type:Individual
Prefix:
First Name:LAURA
Middle Name:L
Last Name:BERRYHILL
Suffix:
Gender:F
Credentials:DPT
Other - Prefix:
Other - First Name:LAURA
Other - Middle Name:L
Other - Last Name:SHORT
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:
Mailing Address - Street 1:3512 SW FAIRLAWN ROAD
Mailing Address - Street 2:SUITE 200
Mailing Address - City:TOPEKA
Mailing Address - State:KS
Mailing Address - Zip Code:66614-3981
Mailing Address - Country:US
Mailing Address - Phone:785-320-7400
Mailing Address - Fax:785-320-7598
Practice Address - Street 1:2021 VANESTA PLACE
Practice Address - Street 2:SUITE C
Practice Address - City:MANHATTAN
Practice Address - State:KS
Practice Address - Zip Code:66503-0381
Practice Address - Country:US
Practice Address - Phone:785-320-7400
Practice Address - Fax:785-320-7598
Is Sole Proprietor?:No
Enumeration Date:2011-08-10
Last Update Date:2011-08-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
KS11-04308225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX1192318OtherLICENSE