Misty Lynn Green P.T.A.

NPI 1609074137 - Physical Therapy Assistant - 225200000X

NPI Details
NPI 1609074137
Gender Female
Enumeration Date 07/05/2007
Last Updated 11/22/2010
Entity Type Individual
Active Over 9 years ago
Practice Location
8437 STATE AVE
KANSAS CITY KS, 66112-1842, US
Phone (913) 299-9616
Fax
Business Location
4911 MILLRIDGE ST
SHAWNEE KS, 66226-9752, US
Phone (913) 530-2779
Fax
Toxanomy
Taxonomy Code 225200000X
License State California
License Number AT 6624
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According to our database, Mrs. Misty Lynn Green P.T.A. NPI is 1609074137, taxonomy code is 225200000X and license number is AT 6624, license state is located at California. Misty Lynn Green P.T.A. physically located at 8437 State Ave, Kansas City KS, 66112-1842. NPI Number Misty Lynn Green P.T.A. has the Individual type.

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1609074137 NPI number is provided on an as is basis without warranty of any kind. 1609074137 is maintained by the National Plan & Provider Enumeration System. The contents of Misty Lynn Green P.T.A. are for informational purposes only.