Individual
HALEY MADISON SMITH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
333 E GREGORY BLVD, KANSAS CITY, MO 64114-1123
(816) 313-8899
(816) 897-2391
Mailing address
2122 YORK RD STE 300, OAK BROOK, IL 60523-1925
(630) 575-6200
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
11-05407
KS
225100000X
Physical Therapist
Primary
CP056547T
MO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
54517021
BCBS
KS
Enumeration date
06/09/2016
Last updated
05/14/2026
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