Individual
CLARA PHILLIPS MOYER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PT, DPT
Contact information
Practice address
5100 INDIAN CREEK PKWY, OVERLAND PARK, KS 66207-4115
(913) 544-1957
Mailing address
10851 STATE LINE RD APT 5, KANSAS CITY, MO 64114-4807
(573) 424-4644
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
11-06506
KS
225100000X
Physical Therapist
6698
ID
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
11-06506
KANSAS BOARD OF HEALING ARTS
KS
01
—
PT-6698
IDAHO DIVISION OF OCCUPATIONAL AND PROFESSIONAL LICENSES
ID
Enumeration date
07/09/2020
Last updated
07/15/2020
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