Individual
DR. TRENNON ROARTY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
2202 LOCUST ST, SAINT JOSEPH, MO 64501-3121
(816) 323-0992
Mailing address
2202 LOCUST ST, SAINT JOSEPH, MO 64501-3121
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
2020029343
MO
Other
Enumeration date
09/23/2020
Last updated
01/24/2024
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