Organization
INNOVATIVE THERAPY SOLUTIONS LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
BRAXTON DEAN BAKER SLP, BCBA (OWNER)
(417) 766-0797
Entity
Organization
Contact information
Practice address
6145 HOLMES ST, KANSAS CITY, MO 64110-3343
(816) 287-1487
Mailing address
6145 HOLMES ST, KANSAS CITY, MO 64110-3343
(816) 287-1487
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
2012029904
MO
Other
Enumeration date
10/06/2015
Last updated
10/06/2015
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