Organization
INSPIRED BODY THERAPY LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. RICHARD K RAUGEWITZ P.T. (OWNER)
(816) 565-2490
Entity
Organization
Contact information
Practice address
309 PARK LN UNIT M, ODESSA, MO 64076-1676
(816) 565-2490
Mailing address
309 PARK LN UNIT M, ODESSA, MO 64076-1676
(816) 565-2490
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
—
—
225100000X
Physical Therapist
—
—
261QP2000X
Physical Therapy Clinic/Center
Primary
2011035532
MO
Other
Enumeration date
06/19/2014
Last updated
10/15/2024
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