Individual
SAMANTHA BOSTICK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1000 E 68TH ST, KANSAS CITY, MO 64131-1304
(314) 397-4646
Mailing address
10043 N LISTER AVE, KANSAS CITY, MO 64156-6334
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
11-07535
KS
225100000X
Physical Therapist
Primary
2024008579
MO
Other
Enumeration date
03/05/2024
Last updated
03/05/2024
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