Organization
EMPOWERME WELLNESS KANSAS CITY, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JOHN DAVID CHURCH (VICE PRESIDENT OF FINANCE)
(618) 972-5228
Entity
Organization
Contact information
Practice address
4100 W 85TH ST, PRAIRIE VILLAGE, KS 66206-2166
(844) 502-7996
Mailing address
1335 STRASSNER DR, BRENTWOOD, MO 63144-1872
(844) 502-7996
Taxonomy
Speciality
Code
Description
License number
State
2251G0304X
Geriatric Physical Therapist
—
—
225XG0600X
Gerontology Occupational Therapist
—
—
235Z00000X
Speech-Language Pathologist
—
—
261QM1300X
Multi-Specialty Clinic/Center
Primary
—
—
Other
Enumeration date
01/28/2021
Last updated
09/29/2025
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