Individual
JULIE JIMERSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
2301 S STATE ROUTE 291, INDEPENDENCE, MO 64057-1201
(816) 373-9328
Mailing address
3016 SW SADDLEWOOD PL, LEES SUMMIT, MO 64081-3826
(816) 304-7442
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
119742
MO
225100000X
Physical Therapist
Primary
—
—
2251X0800X
Orthopedic Physical Therapist
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
119742
LICENSE #
MO
Enumeration date
08/30/2006
Last updated
02/12/2026
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