Individual
JENNELYN LUNA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PT
Contact information
Practice address
2703 RUNNING HORSE RD, STE B, PLATTE CITY, MO 64079-7707
(816) 858-3250
(816) 858-3253
Mailing address
2703 RUNNING HORSE RD, STE B, PLATTE CITY, MO 64079-7707
(816) 858-3250
(816) 858-3253
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
2016028184
MO
225100000X
Physical Therapist
PT22093
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
890670000
—
FL
Enumeration date
09/27/2006
Last updated
02/08/2017
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