Individual
ZACHARY STURM
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PTA
Contact information
Practice address
6240 N CHATHAM AVE, KANSAS CITY, MO 64151-2472
(816) 587-6234
(816) 587-6294
Mailing address
6240 N CHATHAM AVE, KANSAS CITY, MO 64151-2472
(816) 587-6234
(816) 587-6294
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
2014024598
MO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
2014024598
MISSOURI PTA LICENSE
MO
Enumeration date
08/01/2014
Last updated
08/01/2014
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