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Individual

MS. SUSAN Y HAUSHEER

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
PT

Contact information

Practice address
701 S BROADWAY ST, OAK GROVE, MO 64075-8102
(816) 690-8516
(816) 690-6252
Mailing address
1904 NW HEDGEWOOD DR, GRAIN VALLEY, MO 64029-7214
(816) 220-3700
(816) 220-0946

Taxonomy

Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
R1245
MO

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
20230014
BCBS KC
MO
Enumeration date
08/05/2006
Last updated
07/08/2007
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