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10801 E State Route 350 Raytown MO 64138-2367 | |
(816) 737-5500 | |
(816) 737-5504 |
Full Name | |
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Speciality | Clinic/center - Physical Therapy |
Location | 10801 E State Route 350, Raytown, Missouri |
Authorized Official Name and Position | Kiley Russell (MANAGER) |
Authorized Official Contact | 4232388923 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
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17134 Bel Ray Pl Belton MO 64012-5331 Ph: (816) 524-5130 | 10801 E State Route 350 Raytown MO 64138-2367 Ph: (816) 737-5500 |
NPI Number | 1811251358 |
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Provider Enumeration Date | 06/29/2012 |
Last Update Date | 09/04/2013 |
Identifier | Type | State | Issuer |
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1811251358 | NPI | - | NPPES |
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