Individual
KELLIE K WHEATLEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PT
Contact information
Practice address
2400 PERSHING RD, KANSAS CITY, MO 64108-2500
(816) 701-4303
Mailing address
2400 PERSHING RD, KANSAS CITY, MO 64108-2500
(816) 701-4303
Taxonomy
Speciality
Code
Description
License number
State
2251P0200X
Pediatric Physical Therapist
Primary
2005028573
MO
Other
Enumeration date
01/30/2014
Last updated
01/30/2014
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