# NORTHWEST MISSOURI PHYSICAL MEDICINE AND REHABILITATION, LLC

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

## Provider details

- **NPI number:** 1548325772
- **Authorized official:** DR. MARY JO MIDDLETON M.D. (OWNER)
- **Authorized official phone:** (816) 617-2652

## Contact information

- **Practice address:** 105 FAR WEST DR, SUITE 201, SAINT JOSEPH, MO 64506-3500
- **Practice address phone:** (816) 271-8182
- **Practice address fax:** (816) 271-8183
- **Mailing address:** 105 FAR WEST DR, SUITE 201, SAINT JOSEPH, MO 64506-3500
- **Mailing address phone:** (816) 271-8182
- **Mailing address fax:** (816) 271-8183

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 208100000X | Physical Medicine & Rehabilitation Physician | — | — | Yes |

## Other

- **Enumeration date:** 12/27/2006
- **Last updated:** 01/28/2010