Individual
BRADLEY RAY BOGGESS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
6301 N. LUCERNE, KANSAS CITY, MO 64151-3105
(816) 569-1802
(816) 569-2099
Mailing address
6301 N. LUCERNE, KANSAS CITY, MO 64151-3105
(816) 569-1802
(816) 569-2099
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
2009004521
MO
Other
Enumeration date
10/26/2012
Last updated
10/26/2012
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