OrganizationActive
Advanced Therapy & Sports Med., LLC
NPI 1679036206 · Physical Therapy Clinic/Center · Great Bend, KS
Provider details
- NPI number
- 1679036206
- Entity type
- Organization
- Primary specialty
- Physical Therapy Clinic/CenterAmbulatory Health Care Facilities
- Organization subpart
- No
- Authorized official
- Kevyn Soupiset, Owner(620) 792-7868
Specialties & taxonomies
Ambulatory Health Care Facilities
Practice location
4801 10th St
Great Bend, KS 67530-3252
Phone: (620) 792-7868
Fax: (620) 792-7867
Approximate (ZIP-level) locationGet directions
Mailing address
4801 10th St
Great Bend, KS 67530-3252
Other names (DBA / former)
- Doing business as
- Advanced Therapy & Sports Medicine
Additional practice locations (2)
- 2209 Canterbury DrHays, KS 67601-2276Phone: (785) 621-4570Fax: (785) 621-4571
- 117 W 6th StLarned, KS 67550-3045Phone: (620) 285-6011Fax: (620) 285-6012
Registry dates
- Enumerated
- 2019-04-10
- Last updated
- 2023-01-26
- Certified
- 2023-01-26
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.