Individual
JULIE DALECKY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PTA
Contact information
Practice address
308 W 116TH ST, KANSAS CITY, MO 64114-5516
(816) 812-7527
Mailing address
308 W 116TH ST, KANSAS CITY, MO 64114-5516
(816) 812-7527
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
116132
MO
Other
Enumeration date
01/07/2015
Last updated
01/07/2015
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