Individual
JAMIE L DEHAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
P.T.
Contact information
Practice address
294 NE TUDOR RD, LEES SUMMIT, MO 64086-5696
(816) 554-6003
(816) 554-6013
Mailing address
294 NE TUDOR RD, LEES SUMMIT, MO 64086-5696
(816) 554-6003
(816) 554-6013
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
11-03611
KS
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
200417370A
—
KS
05
—
200417370B
—
KS
01
—
P00375646
RETIRED RAILROAD MEDICARE
KS
Enumeration date
10/18/2006
Last updated
02/19/2009
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