Individual
DOUGLAS D LENNERS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PT/ATC
Contact information
Practice address
801 RIVERSIDE, SUITE 250, ST. JOSEPH, MO 64505
(816) 271-6636
(816) 271-6645
Mailing address
22754 COUNTY ROAD 228, UNION STAR, MO 64494-8179
(660) 535-4589
(816) 271-6645
Taxonomy
Speciality
Code
Description
License number
State
2251S0007X
Sports Physical Therapist
112536
MO
2255A2300X
Athletic Trainer
Primary
2001019657
MO
Other
Enumeration date
07/06/2006
Last updated
09/11/2025
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