Individual
MARK ANTHONY WERNSMAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PT, DPT
Contact information
Practice address
3747 SW RAINTREE DR, LEES SUMMIT, MO 64082-4606
(816) 537-5650
(816) 537-5649
Mailing address
6397 LEE HWY, STE 300, CHATTANOOGA, TN 37421-2564
(816) 226-4011
(816) 524-6115
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
2001014048
MO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
30798081
BCBS KC
—
01
—
MA4370026
MEDICARE PTAN
MO
Enumeration date
05/31/2006
Last updated
05/08/2018
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