| NPI | 1568809556 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | HEATHER NICHOLE MACKEY Director Of Operations 816-547-9248 |
| Organization Subpart ? | No |
| Primary Taxonomy | 225X00000X Occupational Therapist (Licence: WI 654-26) |
| Additional Taxonomies | 224Z00000X Occupational Therapy Assistant (Licence: WI 873-27) |
| 225100000X Physical Therapist (Licence: WI 3820-24) | |
| 225200000X Physical Therapy Assistant (Licence: WI 1183-19) | |
| 225200000X Physical Therapy Assistant (Licence: WI 948-19) | |
| 235Z00000X Speech-Language Pathologist (Licence: WI 3041-154) | |
| Enumeration Date | 2013-05-30 |
| Last Update Date | 2013-05-30 |