Individual
DONALD WAYNE HARRIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
201 N FOREST AVE, INDEPENDENCE, MO 64050-2696
(815) 521-5300
Mailing address
2500 NW TIMBERLINE DR, BLUE SPRINGS, MO 64015-6417
(816) 678-6449
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
1999136795
MO
Other
Enumeration date
08/21/2024
Last updated
08/21/2024
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