Individual
MATTHEW VANDENDAELE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PT, DPT
Contact information
Practice address
6403 N PROSPECT AVE STE 450, GLADSTONE, MO 64119-1545
(816) 656-3698
(816) 368-9488
Mailing address
2122 YORK RD STE 300, OAK BROOK, IL 60523-1925
(630) 575-6200
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
11-06898
KS
225100000X
Physical Therapist
Primary
2021048375
MO
Other
Enumeration date
09/10/2021
Last updated
04/29/2026
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