Individual
ESTEBAN AZEVEDO
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PT
Contact information
Practice address
335 NW BARRY RD, KANSAS CITY, MO 64155-2740
(816) 468-5278
(816) 285-5278
Mailing address
335 NW BARRY RD, KANSAS CITY, MO 64155-2740
(816) 468-5278
(816) 285-5278
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
2004010062
MO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
34554027
BCBS
MO
Enumeration date
05/31/2006
Last updated
08/05/2014
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