Individual
MS. ANNE GACEK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PTA
Contact information
Practice address
617 E 66TH ST, KANSAS CITY, MO 64131-1142
(816) 686-6329
Mailing address
617 E 66TH ST, KANSAS CITY, MO 64131-1142
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
14-02788
KS
225200000X
Physical Therapy Assistant
Primary
2014030742
MO
Other
Enumeration date
11/05/2014
Last updated
11/05/2014
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