Individual
LESLI HOLLOWAY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PTA
Contact information
Practice address
6500 N COSBY AVE, KANSAS CITY, MO 64151-3962
(816) 581-0458
Mailing address
1800 S DODGION AVE, INDEPENDENCE, MO 64055-1417
(816) 510-8998
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
2015011817
MO
Other
Enumeration date
11/17/2016
Last updated
11/17/2016
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