Individual
CASSANDRA E WOODS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PTA
Contact information
Practice address
530 S CEDAR AVE, INDEPENDENCE, MO 64053-1504
(816) 213-1179
Mailing address
530 S CEDAR AVE, INDEPENDENCE, MO 64053-1504
(816) 213-1179
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
2006001836
MO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
2006001836
DIVISION OF PROFESSIONAL REGISTRY STATE OF MO
MO
Enumeration date
10/26/2022
Last updated
10/26/2022
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