Individual
MS. MARY EILEEN MYERS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PTA
Contact information
Practice address
10300 W 103RD ST STE 300, OVERLAND PARK, KS 66214-2658
(913) 894-1910
Mailing address
6813 N BALTIMORE AVE, GLADSTONE, MO 64118-2414
(816) 420-8607
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
14-00733
KS
225200000X
Physical Therapy Assistant
2003002972
MO
Other
Enumeration date
03/12/2007
Last updated
07/08/2007
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