Individual
JUANA REED
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
5506 CORPORATE DR, SUITE 1800, SAINT JOSEPH, MO 64507-7752
(816) 232-9420
Mailing address
6291 POSSUM HOLLER RD SE, AGENCY, MO 64401-9174
(816) 253-9152
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
2005005739
LICENSE#
MO
Enumeration date
08/30/2006
Last updated
07/08/2007
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