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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