# BALANCE & NEUROLOGICAL REHABILITATION

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

## Provider details

- **NPI number:** 1760570717
- **Authorized official:** DEBORAH COOKE PT, PHD (OWNER)
- **Authorized official phone:** (816) 679-7056

## Contact information

- **Practice address:** 3100 BROADWAY ST, SUITE 507, KANSAS CITY, MO 64111-2658
- **Practice address phone:** (816) 679-7056
- **Practice address fax:** (816) 931-7392
- **Mailing address:** 3100 BROADWAY ST, SUITE 507, KANSAS CITY, MO 64111-2658
- **Mailing address phone:** (816) 679-7056
- **Mailing address fax:** (816) 931-7392

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 2251N0400X | Neurology Physical Therapist | 11-02878 | KS | — |
| 2251N0400X | Neurology Physical Therapist | R0556 | MO | Yes |

## Other

- **Enumeration date:** 10/11/2006
- **Last updated:** 08/22/2020