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220 Nw Platte Valley Dr Riverside MO 64150-9793 | |
(816) 505-3422 | |
(816) 505-3312 |
Full Name | |
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Speciality | Clinic/center - Physical Therapy |
Location | 220 Nw Platte Valley Dr, Riverside, 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 | 220 Nw Platte Valley Dr Riverside MO 64150-9793 Ph: (816) 505-3422 |
NPI Number | 1700140258 |
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Provider Enumeration Date | 06/29/2012 |
Last Update Date | 09/04/2013 |
Identifier | Type | State | Issuer |
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1700140258 | NPI | - | NPPES |
Functional Pharmd Consulting Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 2101 Nw Platte Rd, Riverside, MO 64150 Phone: 816-569-2815 |