Individual
HEATHER LEIGH EVANS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PT
Contact information
Practice address
668 SE BAYBERRY LN STE 105, LEES SUMMIT, MO 64063-4366
(816) 434-5180
(816) 286-1112
Mailing address
668 SE BAYBERRY LN STE 105, LEES SUMMIT, MO 64063-4366
(816) 434-5180
(816) 286-1112
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
11-03551
KS
225100000X
Physical Therapist
Primary
2006013172
MO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
11-03551
STATE LICENSE
KS
01
—
2006013172
STATE LICENSE
MO
Enumeration date
03/20/2007
Last updated
04/20/2020
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