Individual
ATHIRA NAMBIAR
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
10205 STATE LINE RD STE 110, KANSAS CITY, MO 64114-4263
(816) 354-3080
Mailing address
10206 KINGS COVE DR APT 202, SHAWNEE, KS 66203-4695
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
11-07379
KS
225100000X
Physical Therapist
Primary
2023016613
MO
Other
Enumeration date
02/07/2025
Last updated
02/07/2025
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