Organization
EMPOWERME WELLNESS KANSAS CITY, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JOHN DAVID CHURCH (VICE PRESIDENT OF FINANCE)
(618) 972-5228
Entity
Organization
Contact information
Practice address
611 S COUNTRY CLUB RD, MUSKOGEE, OK 74403-6222
(844) 502-9996
Mailing address
1335 STRASSNER DR, BRENTWOOD, MO 63144-1872
(844) 502-9996
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
—
—
225X00000X
Occupational Therapist
—
—
235Z00000X
Speech-Language Pathologist
—
—
261QM1300X
Multi-Specialty Clinic/Center
Primary
—
—
Other
Enumeration date
04/22/2021
Last updated
10/02/2024
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