Individual
MICHELLE DAVIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1801 NW VESPER ST, BLUE SPRINGS, MO 64015-3219
(816) 224-1487
(816) 224-1310
Mailing address
1801 NW VESPER ST, BLUE SPRINGS, MO 64015-3219
(816) 224-1487
(816) 224-1310
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
2000175717
MO
Other
Enumeration date
09/26/2007
Last updated
09/26/2007
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