Individual
KASEY PECK
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DPT
Contact information
Practice address
10500 QUIVIRA RD, OVERLAND PARK, KS 66215-2373
(913) 541-5000
Mailing address
7712 W 54TH TER, OVERLAND PARK, KS 66202-1130
(316) 295-7075
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
11-06246
KS
Other
Enumeration date
12/03/2019
Last updated
12/03/2019
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