Individual
KATHRYN MATASEK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DPT
Contact information
Practice address
2401 GILLHAM RD, KANSAS CITY, MO 64108-4619
(913) 696-5010
(913) 696-5013
Mailing address
2401 GILLHAM RD, KANSAS CITY, MO 64108-4619
(913) 696-5010
(913) 696-5013
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
11-05312
KS
225100000X
Physical Therapist
2016020979
MO
225100000X
Physical Therapist
Primary
3483
NE
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
47065477701
—
NE
Enumeration date
06/22/2015
Last updated
01/28/2021
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