Organization
SUN LAKES PHYSICAL THERAPY
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. LEASA A SIMERLY PTA (PTA)
(816) 632-6010
Entity
Organization
Contact information
Practice address
1111 EUCLID AVE, CAMERON, MO 64429-2005
(816) 632-6010
(816) 632-1125
Mailing address
22307 COUNTY ROAD 243, UNION STAR, MO 64494-8150
(816) 632-6010
(816) 632-1125
Taxonomy
Speciality
Code
Description
License number
State
314000000X
Skilled Nursing Facility
Primary
2000175354
MO
Other
Enumeration date
12/30/2011
Last updated
12/30/2011
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