Individual
SHANE NATHAN MEADORS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PTA
Contact information
Practice address
11515 TROOST AVE, KANSAS CITY, MO 64131-3769
(816) 943-0101
(816) 943-1615
Mailing address
2011 CORONA RD, SUITE 301, COLUMBIA, MO 65203-2548
(314) 272-0343
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
2012016499
MO
Other
Enumeration date
06/06/2012
Last updated
06/06/2012
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