Individual
ALEXA RAE WATTERS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
8101 MISSION RD, PRAIRIE VILLAGE, KS 66208-5245
(913) 383-2085
Mailing address
1212 W 97TH ST, KANSAS CITY, MO 64114-3832
(816) 585-5899
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
—
—
Other
Enumeration date
04/14/2022
Last updated
04/14/2022
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