Individual
MRS. BROOKE C THEBEAU
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PT
Contact information
Practice address
10090 NW PRAIRIE VIEW RD, KANSAS CITY, MO 64153-1344
(913) 789-4075
(913) 888-1728
Mailing address
11140 THOMPSON AVE, LENEXA, KS 66219-2301
(913) 789-4075
(913) 888-1728
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
2006004622
MO
Other
Enumeration date
03/26/2010
Last updated
03/26/2010
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