Individual
WILLIAM BLAKE STUART
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PTA
Contact information
Practice address
3001 E ELM ST, HARRISONVILLE, MO 64701-1196
(816) 380-6525
Mailing address
11418 E 16TH ST S, INDEPENDENCE, MO 64052-3920
(660) 591-2728
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
2014035795
MO
Other
Enumeration date
10/15/2014
Last updated
10/15/2014
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