Individual
STEPHANIE JEAN MOORE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DPT
Contact information
Practice address
2800 CLAY EDWARDS DR, NORTH KANSAS CITY, MO 64116-3220
(816) 691-1795
(816) 346-7795
Mailing address
529 S NORTHERN BLVD, SUGAR CREEK, MO 64054-1052
(760) 662-4887
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
2017022453
MO
Other
Enumeration date
08/06/2020
Last updated
08/06/2020
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