Individual
GINI ANNE FITE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PTA, ATC
Contact information
Practice address
2105 KARA CT, SUITE 320, LIBERTY, MO 64068-1392
(816) 407-1249
Mailing address
12814 JAMI CT, KANSAS CITY, MO 64166-1234
(816) 351-5491
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
14-01637
KS
225200000X
Physical Therapy Assistant
—
MO
2255A2300X
Athletic Trainer
24-00387
KS
2255A2300X
Athletic Trainer
Primary
—
MO
Other
Enumeration date
06/04/2006
Last updated
07/13/2016
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