Individual
MARCI DENISE BALDWIN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PTA
Contact information
Practice address
10300 W 103RD ST, SUITE 300, OVERLAND PARK, KS 66214-2642
(913) 894-1910
Mailing address
14165 NW 66TH CT, PARKVILLE, MO 64152-5255
(816) 880-3731
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
1401200
KS
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
116592
STATE LICENSE
MO
01
—
14-01200
STATE LICENSE
KS
Enumeration date
04/04/2007
Last updated
07/08/2007
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