| |
638 Nw Jefferson St, Grain Valley, MO 64029-8278 | |
(816) 836-0800 | |
(816) 836-3229 |
Full Name | |
---|---|
Type | Facility |
Speciality | Clinic/center - Physical Therapy |
Location | 638 Nw Jefferson St, Grain Valley, Missouri |
Accepts Medicare Assignments | Does not participate in Medicare Program. The facility may not accept medicare assignment. |
Identifier | Type | State | Issuer |
---|---|---|---|
1770695322 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
225100000X | Physical Therapist | (* (Not Available)) | Secondary |
261QP2000X | Clinic/center - Physical Therapy | (* (Not Available)) | Primary |
Mailing Address | Practice Location Address |
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1300 W Sam Houston Pkwy S, Suite 300, Houston, TX 77042-2447 Ph: (713) 297-7000 | 638 Nw Jefferson St, Grain Valley, MO 64029-8278 Ph: (816) 836-0800 |