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1952961195
TAYLOR BALLANTYNE
LEES SUMMIT, MO
NPI
1952961195
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
225100000X Physical Therapist
(Licence: MO 2019021792)
Enumeration Date
2019-06-19
Last Update Date
2019-06-19
Business Address
TAYLOR BALLANTYNE
208 NW OLDHAM PKWY
LEES SUMMIT, MO 64081-1520
Phone number: 816-347-9696
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Mailing Address
TAYLOR BALLANTYNE
PO BOX 320
BELTON, MO 64012-0320
Phone number: 816-331-9111
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