Individual
JACQUELINE LEE WALSH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PT
Contact information
Practice address
6713 VERMONT AVE, RAYTOWN, MO 64133-6140
(816) 547-9654
(816) 832-2874
Mailing address
7907 MCCORMACK DR, LENEXA, KS 66227-2647
(816) 547-9654
(816) 832-2874
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
11-02863
KS
225100000X
Physical Therapist
2000151779
MO
Other
Enumeration date
01/30/2007
Last updated
10/16/2025
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