RUSSELL RAY SMALL

NORTH KANSAS CITY, MO
NPI1932226545
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy225100000X Physical Therapist
(Licence: MO  00403)
Enumeration Date2007-03-26
Last Update Date2007-07-08
Business Address
-- RUSSELL RAY SMALL
2900 CLAY EDWARDS DR
NORTH KANSAS CITY, MO 64116-3221
Phone number: 816-346-7400
Mailing Address
-- RUSSELL RAY SMALL
9411 N OAK TRFY SUITE LL1
KANSAS CITY, MO 64155-2233
Phone number: 816-436-7072
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