Individual
AMY WASTLER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
2700 CLAY EDWARDS DR STE 150, N KANSAS CITY, MO 64116-3268
(816) 421-7246
Mailing address
6105 W 54TH ST, MISSION, KS 66202-1630
(913) 432-7376
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
2005017284
LICENSE#
MO
Enumeration date
11/08/2006
Last updated
07/08/2007
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