Holly Vaughn, | |
9223 Ne Highway 152, Kansas City, MO 64158-7608 | |
(816) 792-2266 | |
Not Available |
Full Name | Holly Vaughn |
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Gender | Female |
Speciality | Physical Therapist |
Location | 9223 Ne Highway 152, Kansas City, Missouri |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1346367737 | NPI | - | NPPES |
11-03661 | Other | KS | PT LICENSE NUMBER |
2006032398 | Other | MO | PT LICENSE NUMBER |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
225100000X | Physical Therapist | 11-03661 (Kansas) | Secondary |
225100000X | Physical Therapist | 2006032398 (Missouri) | Primary |
Provider Name | Select Physical Therapy Holdings Inc |
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Provider Type | Part B Supplier - Physical/occupational Therapy Group In Private Practice |
Provider Identifiers | NPI Number: 1033179510 PECOS PAC ID: 9537076401 Enrollment ID: O20100130000234 |
Mailing Address | Practice Location Address |
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Holly Vaughn, 6124 N Mersington Ave, Kansas City, MO 64119-1944 Ph: () - | Holly Vaughn, 9223 Ne Highway 152, Kansas City, MO 64158-7608 Ph: (816) 792-2266 |
Dr. Scott Lawrence Jones, DPT, MHA, OCS Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 912 W 78th St, Kansas City, MO 64114 Phone: 816-305-0030 | |
Paula Dianne Walsh, PT, DPT Physical Therapist Medicare: Medicare Enrolled Practice Location: 406 Armour Rd Ste 200, Kansas City, MO 64116 Phone: 816-895-9126 Fax: 816-895-5436 | |
Julie Musick, MS,PT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 2401 Gillham Rd, Kansas City, MO 64108 Phone: 816-234-3380 Fax: 816-346-1372 | |
Erin Leigh Mooney, DPT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 13157 State Line Rd, Kansas City, MO 64145 Phone: 816-941-2550 Fax: 816-941-2520 | |
Judith E Vinlove Hutchison, PT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 6758 Pennsylvania Ave, Kansas City, MO 64113 Phone: 816-914-4868 | |
Ms. Kati Mayer, D.P.T. Physical Therapist Medicare: Medicare Enrolled Practice Location: 10008 Walnut Dr., #202, Kansas City, MO 64114 Phone: 479-685-6768 | |
Sophie Dehaven, Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 4700 Belleview Ave Ste 415, Kansas City, MO 64112 Phone: 816-569-2802 |