Provider Demographics
NPI:1265717995
Name:ALEXANDER, PHILIP E (CPTA)
Entity type:Individual
Prefix:MR
First Name:PHILIP
Middle Name:E
Last Name:ALEXANDER
Suffix:
Gender:M
Credentials:CPTA
Other - Prefix:
Other - First Name:
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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:785-271-7246
Mailing Address - Fax:785-271-7249
Practice Address - Street 1:3512 SW FAIRLAWN ROAD
Practice Address - Street 2:SUITE 200
Practice Address - City:TOPEKA
Practice Address - State:KS
Practice Address - Zip Code:66614-3981
Practice Address - Country:US
Practice Address - Phone:785-271-7249
Practice Address - Fax:785-271-7249
Is Sole Proprietor?:No
Enumeration Date:2011-10-13
Last Update Date:2011-10-13
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
KS1401814225200000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225200000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapy Assistant