Individual
MRS. DEBORAH PRYDE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PFT, MPT
Contact information
Practice address
206 NW OLDHAM PKWY, LEES SUMMIT, MO 64081-1520
(816) 347-9696
(816) 347-0020
Mailing address
206 NW OLDHAM PKWY, LEES SUMMIT, MO 64081-1520
(816) 347-9696
(816) 347-0020
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
110420
MO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
31533018
BCBS PROVIDER #
MO
01
—
5411759
FIRST HEALTH
MO
Enumeration date
08/14/2006
Last updated
07/09/2007
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