Individual
MRS. TIFFONIE KAI DIRKS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.P.T.
Contact information
Practice address
4127 W 73RD ST, PRAIRIE VILLAGE, KS 66208-2928
(913) 432-1866
Mailing address
4127 W 73RD ST, PRAIRIE VILLAGE, KS 66208-2928
(913) 432-1866
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
2001028698
MO
Other
Enumeration date
02/13/2007
Last updated
07/08/2007
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