Individual
COURTNEY MICHELLE ROOT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
SLP
Contact information
Practice address
10000 W 75TH ST STE 121, MERRIAM, KS 66204-2241
(913) 362-7518
Mailing address
15621 S BRADLEY DR, OLATHE, KS 66062-7020
(913) 709-0146
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
5176
KS
Other
Enumeration date
10/27/2022
Last updated
10/27/2022
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