Bradley Ray Boggess

NPI 1255684379 - Physical Therapist - 225100000X

NPI Details
NPI 1255684379
Gender Male
Enumeration Date 10/26/2012
Last Updated 10/26/2012
Entity Type Individual
Active Over 4 years ago
Practice Location
6301 N. LUCERNE
KANSAS CITY MO, 64151-3105, US
Phone (816) 569-1802
Fax (816) 569-2099
Business Location
6301 N. LUCERNE
KANSAS CITY MO, 64151-3105, US
Phone (816) 569-1802
Fax (816) 569-2099
Toxanomy
Taxonomy Code 225100000X
License State Missouri
License Number 2009004521
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According to our database, Bradley Ray Boggess NPI is 1255684379, taxonomy code is 225100000X and license number is 2009004521, license state is located at Missouri. Bradley Ray Boggess physically located at 6301 N. Lucerne, Kansas City MO, 64151-3105. NPI Number Bradley Ray Boggess has the Individual type.

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1255684379 NPI number is provided on an as is basis without warranty of any kind. 1255684379 is maintained by the National Plan & Provider Enumeration System. The contents of Bradley Ray Boggess are for informational purposes only.