Individual
AMY TERESE HARTMAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PTA
Contact information
Practice address
10300 W 103RD ST STE 300, OVERLAND PARK, KS 66214-2658
(913) 894-1910
Mailing address
1203 N 75TH DR, KANSAS CITY, KS 66112-2306
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
1401544
KS
225200000X
Physical Therapy Assistant
2005026634
MO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1401544
STATE LICENSE
KS
01
—
2005026634
STATE LICENSE
MO
Enumeration date
03/05/2007
Last updated
07/08/2007
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