Individual
PAMELA EASLEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1006 N JESSE JAMES RD, EXCELSIOR SPRINGS, MO 64024-1202
(816) 630-7300
Mailing address
8876 ALBANY RD, ORRICK, MO 64077-8166
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
2172
LICENSE#
MO
Enumeration date
03/22/2007
Last updated
07/08/2007
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