# BLUE RIDGE PHYSICAL THERAPY

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

## Provider details

- **NPI number:** 1871957522
- **Authorized official:** MICHAEL WOODWARD MPT (OWNER)
- **Authorized official phone:** (816) 739-0884

## Contact information

- **Practice address:** 373 W 101ST TER, STE 200, KANSAS CITY, MO 64114-4408
- **Practice address phone:** (816) 739-0884
- **Practice address fax:** (816) 795-3366
- **Mailing address:** 4900 S ARROWHEAD DR, STE B, INDEPENDENCE, MO 64055-6952
- **Mailing address phone:** (816) 739-0884
- **Mailing address fax:** (816) 795-3366

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 261QP2000X | Physical Therapy Clinic/Center | 115120 | MO | Yes |

## Other

- **Enumeration date:** 04/08/2016
- **Last updated:** 04/08/2016