Individual
JUSTIN CONNOR VANN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PT, DPT
Contact information
Practice address
678 S COMMERCIAL ST, HARRISONVILLE, MO 64701-1653
(816) 380-3325
(816) 380-3044
Mailing address
1200 CORPORATE DR STE 400, HOOVER, AL 35242-5424
(423) 238-7217
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
11-06763
KS
225100000X
Physical Therapist
Primary
2023000918
MO
Other
Enumeration date
06/13/2021
Last updated
01/13/2023
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