SUPPLEMENTAL

LEES SUMMIT, MO
NPI1659522829
Entity TypeOrganization
Authorized ContactKERRI LYN SWICK
Physical Therapist Assistant
816-347-5748
Organization Subpart ?No
Primary Taxonomy273Y00000X Rehabilitation Unit
(Licence: MO  2007023014)
Enumeration Date2008-10-07
Last Update Date2008-10-07
Business Address
SUPPLEMENTAL
20 NE SAINT LUKES BLVD SUITE 100
LEES SUMMIT, MO 64086-6001
Phone number: 816-347-5748
Mailing Address
SUPPLEMENTAL
313B SE MELODY LN
LEES SUMMIT, MO 64063-2915
Phone number: 816-682-7197