| Empowerme Rehabilitation Missouri Llc | |
|
2700 Somerset Dr, Prairie Village, KS 66206-1173 | |
| (844) 502-7996 | |
| Not Available |
| Full Name | Empowerme Rehabilitation Missouri Llc |
|---|---|
| Type | Facility |
| Speciality | Clinic/center - Multi-specialty |
| Location | 2700 Somerset Dr, Prairie Village, Kansas |
| Accepts Medicare Assignments | Medicare enrolled and accepts medicare insurance. Providers at this facility may prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1205334521 | NPI | - | NPPES |
| Provider Name | Brian A Blachly |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1437381803 PECOS PAC ID: 4486814365 Enrollment ID: I20121113000073 |
| Provider Name | Timothy L Robertson |
|---|---|
| Provider Type | Practitioner - Qualified Speech Language Pathologist |
| Provider Identifiers | NPI Number: 1346440120 PECOS PAC ID: 6103062070 Enrollment ID: I20130419000091 |
| Provider Name | Maureen S Clark |
|---|---|
| Provider Type | Practitioner - Occupational Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1235409202 PECOS PAC ID: 4183861545 Enrollment ID: I20130503000078 |
| Provider Name | Courtney A Lang |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1801238217 PECOS PAC ID: 5496981326 Enrollment ID: I20131122001019 |
| Provider Name | Jennifer Hansen |
|---|---|
| Provider Type | Practitioner - Occupational Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1871924340 PECOS PAC ID: 5890926141 Enrollment ID: I20140329000188 |
| Provider Name | Shweta Kishorkumar Shah |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1598038077 PECOS PAC ID: 5395903330 Enrollment ID: I20150615001737 |
| Provider Name | Elise Nichole Klumpe |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1982086005 PECOS PAC ID: 5991018046 Enrollment ID: I20150717001154 |
| Provider Name | Stephanie R King |
|---|---|
| Provider Type | Practitioner - Qualified Speech Language Pathologist |
| Provider Identifiers | NPI Number: 1720345283 PECOS PAC ID: 9234446618 Enrollment ID: I20150917000557 |
| Provider Name | Debra Stanton |
|---|---|
| Provider Type | Practitioner - Occupational Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1033507710 PECOS PAC ID: 5799086880 Enrollment ID: I20151215000339 |
| Provider Name | Tracy L Wills |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1861686883 PECOS PAC ID: 0042511933 Enrollment ID: I20151218000446 |
| Provider Name | Elizabeth Gloe |
|---|---|
| Provider Type | Practitioner - Qualified Speech Language Pathologist |
| Provider Identifiers | NPI Number: 1699140657 PECOS PAC ID: 3274834924 Enrollment ID: I20151222001334 |
| Provider Name | Tamara Faris |
|---|---|
| Provider Type | Practitioner - Occupational Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1972754281 PECOS PAC ID: 7719292846 Enrollment ID: I20160301001688 |
| Provider Name | Amanda M Taylor |
|---|---|
| Provider Type | Practitioner - Occupational Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1558605063 PECOS PAC ID: 3072819572 Enrollment ID: I20160309001946 |
| Provider Name | Ashley Lyn Maxon |
|---|---|
| Provider Type | Practitioner - Qualified Speech Language Pathologist |
| Provider Identifiers | NPI Number: 1295164739 PECOS PAC ID: 3971809476 Enrollment ID: I20160309001967 |
| Provider Name | Heather Holbert |
|---|---|
| Provider Type | Practitioner - Qualified Speech Language Pathologist |
| Provider Identifiers | NPI Number: 1851635718 PECOS PAC ID: 8527346493 Enrollment ID: I20161027000712 |
| Provider Name | Marjorie L Urton-smith |
|---|---|
| Provider Type | Practitioner - Occupational Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1861680100 PECOS PAC ID: 8729369566 Enrollment ID: I20170515001959 |
| Provider Name | Preston Hollenbeck |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1457845034 PECOS PAC ID: 1557619756 Enrollment ID: I20180803002086 |
| Provider Name | Cameron J Zimmerman |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1841785664 PECOS PAC ID: 6800144692 Enrollment ID: I20180810001473 |
| Provider Name | Keri Mogenson |
|---|---|
| Provider Type | Practitioner - Occupational Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1891013025 PECOS PAC ID: 3678820768 Enrollment ID: I20180810001860 |
| Provider Name | Danielle N Ginther |
|---|---|
| Provider Type | Practitioner - Qualified Speech Language Pathologist |
| Provider Identifiers | NPI Number: 1932635729 PECOS PAC ID: 4688925936 Enrollment ID: I20180925003474 |
| Provider Name | Teresa May-teerink |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1871903823 PECOS PAC ID: 1456697499 Enrollment ID: I20190111000435 |
| Provider Name | Karen Lafreniere |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1568962108 PECOS PAC ID: 7315283777 Enrollment ID: I20190218002314 |
| Provider Name | Lisa Ree Bowser |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1851866701 PECOS PAC ID: 3678815412 Enrollment ID: I20190429000207 |
| Provider Name | Amanda Berner |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1962982488 PECOS PAC ID: 6800228529 Enrollment ID: I20191119002108 |
| Provider Name | Todd J Grisier |
|---|---|
| Provider Type | Practitioner - Occupational Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1730210865 PECOS PAC ID: 0143656769 Enrollment ID: I20200130000780 |
| Provider Name | Bridget Anne Lanigan |
|---|---|
| Provider Type | Practitioner - Qualified Speech Language Pathologist |
| Provider Identifiers | NPI Number: 1134552540 PECOS PAC ID: 5092142679 Enrollment ID: I20200219003020 |
| Provider Name | Heidi Sharp |
|---|---|
| Provider Type | Practitioner - Occupational Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1770986374 PECOS PAC ID: 6608205042 Enrollment ID: I20200406001102 |
| Provider Name | Tiffany Faith Harrison |
|---|---|
| Provider Type | Practitioner - Qualified Speech Language Pathologist |
| Provider Identifiers | NPI Number: 1487130126 PECOS PAC ID: 2668893124 Enrollment ID: I20200609001517 |
| Provider Name | Gabriella Coppersmith |
|---|---|
| Provider Type | Practitioner - Occupational Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1730706615 PECOS PAC ID: 0749603157 Enrollment ID: I20200708000502 |
| Provider Name | Kathryn Kaycie Childs |
|---|---|
| Provider Type | Practitioner - Qualified Speech Language Pathologist |
| Provider Identifiers | NPI Number: 1932717873 PECOS PAC ID: 7517381361 Enrollment ID: I20200727001180 |
| Provider Name | Michael Zachary Favorite |
|---|---|
| Provider Type | Practitioner - Qualified Speech Language Pathologist |
| Provider Identifiers | NPI Number: 1285252429 PECOS PAC ID: 0345665105 Enrollment ID: I20200814001524 |
| Provider Name | Clara Moyer |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1033737788 PECOS PAC ID: 0941629166 Enrollment ID: I20201007001332 |
| Provider Name | Jordana D'neil Mancini |
|---|---|
| Provider Type | Practitioner - Qualified Speech Language Pathologist |
| Provider Identifiers | NPI Number: 1437765450 PECOS PAC ID: 3173942273 Enrollment ID: I20201203000490 |
| Provider Name | Cody Wiley Sliva |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1063002780 PECOS PAC ID: 3678987898 Enrollment ID: I20210129002112 |
| Provider Name | Rachel Mulich |
|---|---|
| Provider Type | Practitioner - Qualified Speech Language Pathologist |
| Provider Identifiers | NPI Number: 1770835290 PECOS PAC ID: 9032524020 Enrollment ID: I20210225001785 |
| Provider Name | Shannon W Tow |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1821309436 PECOS PAC ID: 5991110983 Enrollment ID: I20210225002070 |
| Provider Name | Amy S Reid |
|---|---|
| Provider Type | Practitioner - Occupational Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1770176802 PECOS PAC ID: 6204241292 Enrollment ID: I20210225002458 |
| Provider Name | Robyn Lynn Dostal |
|---|---|
| Provider Type | Practitioner - Occupational Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1376965350 PECOS PAC ID: 2567878523 Enrollment ID: I20210317001164 |
| Provider Name | Aimee L Bury |
|---|---|
| Provider Type | Practitioner - Occupational Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1578157806 PECOS PAC ID: 8820405970 Enrollment ID: I20210407002669 |
| Provider Name | Hannah Mcgehee |
|---|---|
| Provider Type | Practitioner - Occupational Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1649873001 PECOS PAC ID: 9234546318 Enrollment ID: I20210408002503 |
| Provider Name | Laurie Sade |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1184836603 PECOS PAC ID: 4789092701 Enrollment ID: I20210421001886 |
| Provider Name | Stacy Hymer |
|---|---|
| Provider Type | Practitioner - Qualified Speech Language Pathologist |
| Provider Identifiers | NPI Number: 1093354409 PECOS PAC ID: 1355740556 Enrollment ID: I20210520000236 |
| Provider Name | Sandy Janides |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1215069398 PECOS PAC ID: 2062812126 Enrollment ID: I20210610001380 |
| Provider Name | Carol Phipps |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1255907432 PECOS PAC ID: 3072913144 Enrollment ID: I20210610001708 |
| Provider Name | Jessica Catlett |
|---|---|
| Provider Type | Practitioner - Qualified Speech Language Pathologist |
| Provider Identifiers | NPI Number: 1023692472 PECOS PAC ID: 2668881988 Enrollment ID: I20210615001846 |
| Provider Name | Nicole Dickerson |
|---|---|
| Provider Type | Practitioner - Qualified Speech Language Pathologist |
| Provider Identifiers | NPI Number: 1386023752 PECOS PAC ID: 5294044855 Enrollment ID: I20210624002332 |
| Provider Name | Keren Grimaldo |
|---|---|
| Provider Type | Practitioner - Qualified Speech Language Pathologist |
| Provider Identifiers | NPI Number: 1629426853 PECOS PAC ID: 5294136446 Enrollment ID: I20210625001849 |
| Provider Name | Kim Oda |
|---|---|
| Provider Type | Practitioner - Qualified Speech Language Pathologist |
| Provider Identifiers | NPI Number: 1780731372 PECOS PAC ID: 9133521677 Enrollment ID: I20210707001137 |
| Provider Name | Kasey Mclain |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1740766179 PECOS PAC ID: 9335480086 Enrollment ID: I20210803003540 |
| Provider Name | Kailey Lambdin |
|---|---|
| Provider Type | Practitioner - Qualified Speech Language Pathologist |
| Provider Identifiers | NPI Number: 1316613722 PECOS PAC ID: 5799180808 Enrollment ID: I20210826002284 |
| Provider Name | Alicyn Lea Dungan |
|---|---|
| Provider Type | Practitioner - Occupational Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1598169328 PECOS PAC ID: 8325445703 Enrollment ID: I20210928001962 |
| Provider Name | Jennifer Suzanne Walden |
|---|---|
| Provider Type | Practitioner - Occupational Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1619633260 PECOS PAC ID: 4284023441 Enrollment ID: I20211110001617 |
| Provider Name | Jessica Pelski |
|---|---|
| Provider Type | Practitioner - Qualified Speech Language Pathologist |
| Provider Identifiers | NPI Number: 1841688827 PECOS PAC ID: 4587057385 Enrollment ID: I20220131000188 |
| Provider Name | Kristi Payne |
|---|---|
| Provider Type | Practitioner - Occupational Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1518159565 PECOS PAC ID: 1355734831 Enrollment ID: I20220204000697 |
| Provider Name | Benjamin Theodore Horowitz |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1174277867 PECOS PAC ID: 3870987738 Enrollment ID: I20220218002434 |
| Provider Name | Teresa Levering |
|---|---|
| Provider Type | Practitioner - Qualified Speech Language Pathologist |
| Provider Identifiers | NPI Number: 1477179380 PECOS PAC ID: 0446644660 Enrollment ID: I20220303000672 |
| Provider Name | Rachel Breyfogle |
|---|---|
| Provider Type | Practitioner - Qualified Speech Language Pathologist |
| Provider Identifiers | NPI Number: 1538601877 PECOS PAC ID: 1153717012 Enrollment ID: I20220401002280 |
| Provider Name | Addy Brown |
|---|---|
| Provider Type | Practitioner - Qualified Speech Language Pathologist |
| Provider Identifiers | NPI Number: 1326788068 PECOS PAC ID: 3375939168 Enrollment ID: I20220404001322 |
| Provider Name | Abigail Thomas |
|---|---|
| Provider Type | Practitioner - Occupational Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1366187262 PECOS PAC ID: 8527445774 Enrollment ID: I20220510001096 |
| Provider Name | Christina Haley |
|---|---|
| Provider Type | Practitioner - Occupational Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1942751300 PECOS PAC ID: 0749667400 Enrollment ID: I20220518001285 |
| Provider Name | Nikki Mears |
|---|---|
| Provider Type | Practitioner - Qualified Speech Language Pathologist |
| Provider Identifiers | NPI Number: 1225777592 PECOS PAC ID: 3375922198 Enrollment ID: I20220623003315 |
| Provider Name | John Williams |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1124519632 PECOS PAC ID: 9537549738 Enrollment ID: I20220706001535 |
| Provider Name | Elizabeth Anne Miller |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1710108154 PECOS PAC ID: 7517346935 Enrollment ID: I20220707001387 |
| Provider Name | Jennifer Herrmann |
|---|---|
| Provider Type | Practitioner - Occupational Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1942608823 PECOS PAC ID: 6002296902 Enrollment ID: I20220709000585 |
| Provider Name | Jasmine M Crimes |
|---|---|
| Provider Type | Practitioner - Qualified Speech Language Pathologist |
| Provider Identifiers | NPI Number: 1700384575 PECOS PAC ID: 7214319805 Enrollment ID: I20220728002828 |
| Provider Name | Louis Brunetti |
|---|---|
| Provider Type | Practitioner - Occupational Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1285371302 PECOS PAC ID: 6204219777 Enrollment ID: I20220816001778 |
| Provider Name | Heidi Lynn Bertoncin |
|---|---|
| Provider Type | Practitioner - Occupational Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1568666527 PECOS PAC ID: 5193108496 Enrollment ID: I20220819000551 |
| Provider Name | Ashli Williams |
|---|---|
| Provider Type | Practitioner - Qualified Speech Language Pathologist |
| Provider Identifiers | NPI Number: 1366160855 PECOS PAC ID: 6305229303 Enrollment ID: I20220823002956 |
| Provider Name | Christopher Kyle Johnston |
|---|---|
| Provider Type | Practitioner - Qualified Speech Language Pathologist |
| Provider Identifiers | NPI Number: 1730807637 PECOS PAC ID: 8426432444 Enrollment ID: I20220825000256 |
| Provider Name | Amy Porter |
|---|---|
| Provider Type | Practitioner - Occupational Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1841969300 PECOS PAC ID: 6406230820 Enrollment ID: I20220903000139 |
| Provider Name | Laura Lee Holst |
|---|---|
| Provider Type | Practitioner - Qualified Speech Language Pathologist |
| Provider Identifiers | NPI Number: 1194107151 PECOS PAC ID: 4486964145 Enrollment ID: I20220910000090 |
| Provider Name | Amy Andrews |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1215418553 PECOS PAC ID: 8729463427 Enrollment ID: I20220916000207 |
| Provider Name | Alexandra Grace Arnold |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1598495590 PECOS PAC ID: 1052796661 Enrollment ID: I20220919001150 |
| Provider Name | Sean Vanriette |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1184992711 PECOS PAC ID: 5698151975 Enrollment ID: I20221011000777 |
| Provider Name | Jenny Wang |
|---|---|
| Provider Type | Practitioner - Occupational Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1730409194 PECOS PAC ID: 7618348756 Enrollment ID: I20230127000261 |
| Provider Name | Adriane Susanne Zender |
|---|---|
| Provider Type | Practitioner - Occupational Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1831671510 PECOS PAC ID: 8921479064 Enrollment ID: I20230127000527 |
| Provider Name | Mark Frederick |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1306234604 PECOS PAC ID: 1759756851 Enrollment ID: I20230403001462 |
| Provider Name | Kelsey Wright |
|---|---|
| Provider Type | Practitioner - Occupational Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1366147548 PECOS PAC ID: 5890160204 Enrollment ID: I20230417000575 |
| Provider Name | Andrea Marie Perrea |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1538276605 PECOS PAC ID: 4486858032 Enrollment ID: I20230428002645 |
| Provider Name | Sabrina L Nihsen |
|---|---|
| Provider Type | Practitioner - Occupational Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1043803745 PECOS PAC ID: 5294108577 Enrollment ID: I20230519000869 |
| Provider Name | Sarah Taylor |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1992466569 PECOS PAC ID: 0547291247 Enrollment ID: I20230522001890 |
| Provider Name | Jessica A Clossen |
|---|---|
| Provider Type | Practitioner - Qualified Speech Language Pathologist |
| Provider Identifiers | NPI Number: 1881808699 PECOS PAC ID: 8527425586 Enrollment ID: I20230606002820 |
| Provider Name | Sydney Ward |
|---|---|
| Provider Type | Practitioner - Occupational Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1962187641 PECOS PAC ID: 7012376510 Enrollment ID: I20230630001386 |
| Provider Name | Vernon Alexander |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1629325626 PECOS PAC ID: 5698137073 Enrollment ID: I20230816004165 |
| Provider Name | Tara L. Bryan |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1497849095 PECOS PAC ID: 1254788078 Enrollment ID: I20231115002080 |
| Provider Name | Allison Sankey |
|---|---|
| Provider Type | Practitioner - Qualified Speech Language Pathologist |
| Provider Identifiers | NPI Number: 1376935429 PECOS PAC ID: 2860835733 Enrollment ID: I20240207002814 |
| Provider Name | Jennifer Petersen |
|---|---|
| Provider Type | Practitioner - Occupational Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1144649435 PECOS PAC ID: 8426272436 Enrollment ID: I20240301000634 |
| Provider Name | Samantha Bostick |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1467219584 PECOS PAC ID: 8729424940 Enrollment ID: I20240311002437 |
| Provider Name | Hannah Slimack |
|---|---|
| Provider Type | Practitioner - Qualified Speech Language Pathologist |
| Provider Identifiers | NPI Number: 1710580717 PECOS PAC ID: 9133520570 Enrollment ID: I20240313003005 |
| Provider Name | Lindsay J Wedan |
|---|---|
| Provider Type | Practitioner - Occupational Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1578323713 PECOS PAC ID: 7214377134 Enrollment ID: I20240425002476 |
| Provider Name | Holly Jansen |
|---|---|
| Provider Type | Practitioner - Qualified Speech Language Pathologist |
| Provider Identifiers | NPI Number: 1396173175 PECOS PAC ID: 9537497417 Enrollment ID: I20240506001184 |
| Provider Name | Amy Hinds |
|---|---|
| Provider Type | Practitioner - Occupational Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1689237422 PECOS PAC ID: 7517309271 Enrollment ID: I20240525000240 |
| Provider Name | Megan Marie Zweifel |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1972239762 PECOS PAC ID: 4486096039 Enrollment ID: I20240528002523 |
| Provider Name | Alina Theresa Ward |
|---|---|
| Provider Type | Practitioner - Qualified Speech Language Pathologist |
| Provider Identifiers | NPI Number: 1790524155 PECOS PAC ID: 2365984218 Enrollment ID: I20240606001511 |
| Mailing Address | Practice Location Address |
|---|---|
| Empowerme Rehabilitation Missouri Llc Po Box 736005, Dallas, TX 75373-6005 Ph: (844) 502-7996 | Empowerme Rehabilitation Missouri Llc 2700 Somerset Dr, Prairie Village, KS 66206-1173 Ph: (844) 502-7996 |