Individual
JOHANNA MCCARTHY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
2601 SE NOTTINGHAM DR, LEES SUMMIT, MO 64063-3658
(816) 582-4028
Mailing address
2601 SE NOTTINGHAM DR, LEES SUMMIT, MO 64063-3658
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
11-03067
KS
225100000X
Physical Therapist
2001017949
MO
Other
Enumeration date
02/16/2017
Last updated
02/16/2017
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