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20101 E Jackson Dr Ste C, Independence, MO 64057-1956 | |
(816) 807-4433 | |
Not Available |
Full Name | |
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Type | Facility |
Speciality | Clinic/center - Physical Therapy |
Location | 20101 E Jackson Dr Ste C, Independence, Missouri |
Accepts Medicare Assignments | Medicare enrolled and accepts medicare insurance. Providers at this facility may prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1902550270 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
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225100000X | Physical Therapist | (* (Not Available)) | Secondary |
261QP2000X | Clinic/center - Physical Therapy | (* (Not Available)) | Primary |
Provider Name | Chase Miller |
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Provider Type | Practitioner - Physical Therapist In Private Practice |
Provider Identifiers | NPI Number: 1477906170 PECOS PAC ID: 1658768742 Enrollment ID: I20220419002645 |
Provider Name | Michael Lee Zinser |
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Provider Type | Practitioner - Physical Therapist In Private Practice |
Provider Identifiers | NPI Number: 1457135758 PECOS PAC ID: 7618321746 Enrollment ID: I20230923000292 |
Mailing Address | Practice Location Address |
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2708 Ne Field Creek Ct, Blue Springs, MO 64014-1448 Ph: (816) 807-4433 | 20101 E Jackson Dr Ste C, Independence, MO 64057-1956 Ph: (816) 807-4433 |