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Individual

MICHAEL ALLEN CARRUTHERS

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
CPTA

Contact information

Practice address
7819 CONSER PL, OVERLAND PARK, KS 66204-2820
(913) 789-9900
Mailing address
7819 CONSER PL, OVERLAND PARK, KS 66204-2820

Taxonomy

Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
1403162
KS

Other

Enumeration date
09/20/2017
Last updated
09/20/2017
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