Provider Demographics
NPI:1801080148
Name:SAVOLT, WILLIAM JOSEPH (MSPT)
Entity type:Individual
Prefix:MR
First Name:WILLIAM
Middle Name:JOSEPH
Last Name:SAVOLT
Suffix:
Gender:M
Credentials:MSPT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2810 N BARONS PL
Mailing Address - Street 2:
Mailing Address - City:GARDEN CITY
Mailing Address - State:KS
Mailing Address - Zip Code:67846-3767
Mailing Address - Country:US
Mailing Address - Phone:620-276-4974
Mailing Address - Fax:620-272-9852
Practice Address - Street 1:2810 N BARONS PL
Practice Address - Street 2:
Practice Address - City:GARDEN CITY
Practice Address - State:KS
Practice Address - Zip Code:67846-3767
Practice Address - Country:US
Practice Address - Phone:620-276-4974
Practice Address - Fax:620-272-9852
Is Sole Proprietor?:Yes
Enumeration Date:2007-08-29
Last Update Date:2012-10-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
KS11-02619225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist