WACO C PORTER

OLATHE, KS
NPI1497453955
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy225200000X Physical Therapy Assistant
(Licence: KS  14-03569)
Enumeration Date2023-02-22
Last Update Date2023-02-22
Business Address
Mr. WACO C PORTER
11032 S GREEN RD
OLATHE, KS 66061-5657
Phone number: 816-547-9654
Mailing Address
Mr. WACO C PORTER
6713 VERMONT AVE
RAYTOWN, MO 64133-6140
Phone number: 816-809-8086
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