TARAH JUDITH AN PHONGSAVATH

KANSAS CITY, MO
NPI1780422006
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy225100000X Physical Therapist
(Licence: KS  11-07644)
Enumeration Date2024-07-19
Last Update Date2024-08-13
Business Address
Dr. TARAH JUDITH AN PHONGSAVATH DPT
601 E 63RD ST
KANSAS CITY, MO 64110-3303
Phone number: 816-569-2802
Mailing Address
Dr. TARAH JUDITH AN PHONGSAVATH DPT
24850 W 191ST ST
GARDNER, KS 66030-9402
Phone number: 913-549-6416