Organization
MISSOURI VALLEY THERAPY COMPANY, LLC
Active
Organization
MISSOURI VALLEY THERAPY COMPANY, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. HEATHER NICHOLE MACKEY PTA (DIRECTOR OF OPERATIONS)
(816) 547-9248
Entity
Organization
Contact information
Practice address
8575 N GRANBY AVE, KANSAS CITY, MO 64154-1235
(816) 468-4015
(816) 468-4010
Mailing address
8575 N GRANBY AVE, KANSAS CITY, MO 64154-1235
(816) 468-4015
(816) 468-4010
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
873-27
WI
225100000X
Physical Therapist
3820-24
WI
225200000X
Physical Therapy Assistant
1183-19
WI
225200000X
Physical Therapy Assistant
948-19
WI
225X00000X
Occupational Therapist
Primary
654-26
WI
235Z00000X
Speech-Language Pathologist
3041-154
WI
Other
Enumeration date
05/30/2013
Last updated
05/30/2013
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