CORRIE LYNN GRAVES TICE

KANSAS CITY, MO
NPI1295040186
Former NameCORRIE LYNN GRAVES
Entity TypeIndividual
GenderFemale
Sole Proprietor ?Yes
Primary Taxonomy225100000X Physical Therapist
(Licence: MO  20000152219)
Enumeration Date2010-08-16
Last Update Date2010-08-16
Business Address
Ms. CORRIE LYNN GRAVES TICE PT
2727 TRACY AVE
KANSAS CITY, MO 64109-1243
Phone number: 816-889-3502
Mailing Address
Ms. CORRIE LYNN GRAVES TICE PT
201 NE 83RD TER
KANSAS CITY, MO 64118-1253
Phone number: 816-420-9901
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