Individual
KASSANDRA LEIGH WHITEAKER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
105 SW EAGLES PKWY, GRAIN VALLEY, MO 64029-8512
(816) 265-1170
Mailing address
105 SW EAGLES PKWY, GRAIN VALLEY, MO 64029-8512
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
425157
MO
Other
Enumeration date
03/13/2024
Last updated
03/13/2024
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