Individual
PERRI E CAGLE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PT
Contact information
Practice address
3901 RAINBOW BLVD MSC 4043, 2032 SCHOOL OF NURSING, KANSAS CITY, KS 66160-0001
(866) 249-9736
Mailing address
PO BOX 307, STILWELL, KS 66085-0307
(866) 249-9736
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
00808
MO
225100000X
Physical Therapist
Primary
1101411
KS
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
23585027
BCBS PROVIDER NUMBER
—
Enumeration date
08/26/2006
Last updated
07/18/2007
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