Individual
MRS. TAMMY MARIE PERRY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PTA
Contact information
Practice address
2415 AGNES AVE, KANSAS CITY, MO 64127-4129
(816) 418-4872
Mailing address
1307 NW PECAN DR, GRAIN VALLEY, MO 64029-3706
(636) 255-4992
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
116577
MO
Other
Enumeration date
09/12/2019
Last updated
09/12/2019
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