Provider Demographics
NPI:1871932277
Name:LOYD, DUSTIN J (DPT, CSCS)
Entity type:Individual
Prefix:
First Name:DUSTIN
Middle Name:J
Last Name:LOYD
Suffix:
Gender:M
Credentials:DPT, CSCS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:9021 SW 24TH ST
Mailing Address - Street 2:
Mailing Address - City:TOPEKA
Mailing Address - State:KS
Mailing Address - Zip Code:66614-9702
Mailing Address - Country:US
Mailing Address - Phone:913-406-8727
Mailing Address - Fax:
Practice Address - Street 1:3512 SW FAIRLAWN RD STE 200
Practice Address - Street 2:
Practice Address - City:TOPEKA
Practice Address - State:KS
Practice Address - Zip Code:66614-3981
Practice Address - Country:US
Practice Address - Phone:785-289-5900
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2013-06-19
Last Update Date:2013-06-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
KST-03694225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist