Individual
MRS. BLYTHE LEAH HEITS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MOTR/L
Contact information
Practice address
7422 N MANCHESTER AVE, KANSAS CITY, MO 64158-1220
(816) 863-3728
Mailing address
7422 N MANCHESTER AVE, KANSAS CITY, MO 64158-1220
(816) 863-3728
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
2005001683
MO
Other
Enumeration date
01/04/2011
Last updated
01/04/2011
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