Individual
TRACIE JANEANN KRYSA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1917 N COLONY LN, INDEPENDENCE, MO 64058-1311
(816) 806-1961
Mailing address
1917 N COLONY LN, INDEPENDENCE, MO 64058-1311
(816) 806-1961
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
116587
MO
Other
Enumeration date
10/19/2016
Last updated
10/19/2016
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