MISHALA L ROUTH

PRAIRIE VILLAGE, KS
NPI1194151324
Entity TypeIndividual
GenderFemale
Sole Proprietor ?Yes
Primary Taxonomy225200000X Physical Therapy Assistant
(Licence: KS  14-02590)
Enumeration Date2013-09-19
Last Update Date2013-09-19
Business Address
-- MISHALA L ROUTH PTA
3965 W 83RD ST
PRAIRIE VILLAGE, KS 66208-5308
Phone number: 913-789-9900
Mailing Address
-- MISHALA L ROUTH PTA
3965 W 83RD ST
PRAIRIE VILLAGE, KS 66208-5308
Phone number: 913-789-9900