Individual
TIMOTHY MAHONEY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
7740 HEDGE LANE TER, SHAWNEE, KS 66227-3017
(913) 745-7537
Mailing address
16951 W 93RD PL APT 18207, LENEXA, KS 66219-2553
(913) 940-5769
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
11-06144
KS
Other
Enumeration date
06/11/2019
Last updated
12/30/2021
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