# SUMMIT PEDIATRIC THERAPY CORP

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

## Provider details

- **NPI number:** 1508304403
- **Authorized official:** MELISA I HENDREN (OWNER)
- **Authorized official phone:** (816) 607-5333

## Contact information

- **Practice address:** 204 NE CHIPMAN RD, LEES SUMMIT, MO 64063-2404
- **Practice address phone:** (816) 607-5333
- **Mailing address:** 204 NE CHIPMAN RD, LEES SUMMIT, MO 64063-2404
- **Mailing address phone:** (816) 607-5333

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 251K00000X | Public Health or Welfare Agency | — | NULL | Yes |

## Other

- **Enumeration date:** 02/10/2017
- **Last updated:** 02/23/2017