Individual
MATTHEW MICHAEL JULY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PT, DPT, OCS
Contact information
Practice address
5808 W 110TH ST, OVERLAND PARK, KS 66211-2504
(913) 696-8000
(816) 302-9939
Mailing address
ATTN: PROVIDER ENROLLMENT DEPARTMENT, 2401 GILLHAM RD, KANSAS CITY, MO 64108-4619
(816) 701-5200
(816) 302-9939
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
11-06844
KS
225100000X
Physical Therapist
2015027116
MO
Other
Enumeration date
12/18/2015
Last updated
12/03/2021
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