Individual
KIMBERLY NICOLE TRAYLOR
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PTA
Contact information
Practice address
600 NE MEADOWVIEW DR, LEES SUMMIT, MO 64064
(816) 554-9866
Mailing address
4020 S JACKSON DR APT 202, INDEPENDENCE, MO 64057-1994
(816) 830-9819
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
2017027547
MO
Other
Enumeration date
08/27/2018
Last updated
08/28/2018
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