Individual
MRS. AMANDA JOY WIEDERHOLT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
D.P.T
Contact information
Practice address
10000 W 75TH ST, SUITE 250, MERRIAM, KS 66204-2209
(913) 894-1910
(913) 894-1174
Mailing address
8006 N THOMAS MEYERS DR, APT B, KANSAS CITY, MO 64118-7844
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
—
—
Other
Enumeration date
05/10/2010
Last updated
05/10/2010
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