Individual
CHRISTY J SIEBERT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DPT
Contact information
Practice address
7105 MISSION RD, PRAIRIE VILLAGE, KS 66208
(913) 962-1611
Mailing address
14362 S BLACKFEATHER DR, OLATHE, KS 66062-4647
(785) 554-2428
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
11-03889
KS
225100000X
Physical Therapist
2008015435
MO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
41402046
BCBS KC
—
01
—
KA2868040
MEDICARE PTAN
KS
01
—
MA4370020
MEDICARE PTAN
MO
Enumeration date
06/23/2008
Last updated
05/21/2018
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