Individual
DANA R RAYNARD
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DPT
Contact information
Practice address
815 WESTCHESTER AVE, HARRISONVILLE, MO 64701-1784
(816) 380-3344
(816) 380-3044
Mailing address
17134 BEL RAY PL, BELTON, MO 64012-5331
(816) 226-4011
(816) 524-6115
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
2010033320
MO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
44388053
BCBS KC
—
01
—
MA4370050
MEDICARE PTAN
MO
Enumeration date
04/23/2010
Last updated
01/28/2014
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