Organization
BARDAVON HEALTH INNOVATIONS, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MYLES HOWELL (DIRECTOR OF OPERATIONS)
(913) 219-9122
Entity
Organization
Contact information
Practice address
6701 W 64TH ST, BUILDING 5, SUITE 125, OVERLAND PARK, KS 66202-4123
(913) 236-1020
Mailing address
6701 W 64TH STREET, BUILDING 5, SUITE 125, OVERLAND PARK, KS 66202
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
—
—
225100000X
Physical Therapist
Primary
—
—
225200000X
Physical Therapy Assistant
—
—
2255A2300X
Athletic Trainer
—
—
225X00000X
Occupational Therapist
—
—
226300000X
Kinesiotherapist
—
—
Other
Enumeration date
05/11/2015
Last updated
05/11/2015
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