Organization
SPINE AND EXTREMITY REHABILITATION CENTER OF RAYTOWN INC
Active
Other names
SERC of Raytown; SERC of South Raytown; SERC of Belton
Organization subpart
No
Provider details
NPI number
Authorized official
DIANA E NAUMANN P.T. (CLINIC DIRECTOR)
(816) 737-5500
Entity
Organization
Contact information
Practice address
10801 E 350 HWY, RAYTOWN, MO 64138-2367
(816) 737-5500
(816) 737-5504
Mailing address
10801 E 350 HWY, RAYTOWN, MO 64138-2367
(816) 737-5500
(816) 737-5504
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
2011015393
MO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
34362035
BCBS KC
MO
Enumeration date
05/05/2006
Last updated
11/01/2012
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