Individual
MR. ALAN CARSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
1927 SW 3RD ST, LEES SUMMIT, MO 64081-1752
(620) 272-6210
Mailing address
1927 SW 3RD ST, LEES SUMMIT, MO 64081-1752
(620) 272-6210
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
14-0175
KS
225200000X
Physical Therapy Assistant
2005003632
MO
Other
Enumeration date
09/16/2009
Last updated
09/17/2009
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