# MIGHTY KIDS PEDIATRIC THERAPY

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1154951176
- **Authorized official:** MR. JEREMY ADAM BROWN (DIRECTOR OF OPERATIONS)
- **Authorized official phone:** (816) 352-9271

## Contact information

- **Practice address:** 829 HWY 150, LEE'S SUMMIT, MO 64082-6408
- **Practice address phone:** (816) 352-9271
- **Mailing address:** 914 SW GEORGETOWN DR, LEES SUMMIT, MO 64082-4681
- **Mailing address phone:** (816) 352-9271

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 2251P0200X | Pediatric Physical Therapist | — | NULL | Yes |
| 2251P0200X | Pediatric Physical Therapist | — | — | Yes |

## Other

- **Enumeration date:** 01/17/2020
- **Last updated:** 01/17/2020