Individual
STEPHANIE R. WUERTZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PT
Contact information
Practice address
11501 GRANADA LN, LEAWOOD, KS 66211-1454
(913) 321-8765
(913) 754-1937
Mailing address
8754 NALL AVE, OVERLAND PARK, KS 66207-2158
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
11-03394
KS
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
14072
BCBS
KS
01
—
34185011
BCBS KC, MO
MO
Enumeration date
02/13/2007
Last updated
07/08/2007
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