Individual
LYNN ELLEN SPARE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PTA
Contact information
Practice address
10422 S OUTER BELT RD, OAK GROVE, MO 64075-9085
(816) 255-9729
Mailing address
10880 BENSON DR STE 2370, OVERLAND PARK, KS 66210-1599
(816) 255-9729
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
14-02148
KS
Other
Enumeration date
06/29/2024
Last updated
06/29/2024
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