Individual
MICHAEL SCOTT BLUBAUGH
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MSPT,LMT
Contact information
Practice address
211 N 2ND ST, ODESSA, MO 64076-1135
(816) 633-4063
(816) 230-3230
Mailing address
2318 SOMERSET DR, PRAIRIE VILLAGE, KS 66206-1244
(913) 526-7220
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
11-01870
KS
225100000X
Physical Therapist
Primary
117614
MO
Other
Enumeration date
06/30/2006
Last updated
05/02/2022
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