Individual
AMY RUTH HUFFSTUTLAR
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PTA
Contact information
Practice address
1202 HEARTLAND RD, SAINT JOSEPH, MO 64506-3492
(816) 671-8506
Mailing address
15200 43RD SERVICE RD SE, FAUCETT, MO 64448-7180
(816) 238-2185
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
2001001471
MO
Other
Enumeration date
04/23/2007
Last updated
07/08/2007
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