Individual
JAMIE LEE MADEO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PT
Contact information
Practice address
10300 W 103RD ST STE 300, OVERLAND PARK, KS 66214-2658
(913) 894-1910
Mailing address
8421 BELLEVIEW AVE, KANSAS CITY, MO 64114-2149
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
1103811
KS
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1103811
STATE LICENSE NUMBER
KS
Enumeration date
06/25/2008
Last updated
06/25/2008
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