Individual
JOHNNY MANUEL HERRERA JR.
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PT
Contact information
Practice address
8302 W 125TH ST, OVERLAND PARK, KS 66213-1400
(913) 574-1240
Mailing address
4000 CAMBRIDGE ST, KANSAS CITY, KS 66160-8501
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
1347580
TX
Other
Enumeration date
07/13/2022
Last updated
08/21/2023
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