Individual
MARSHA ANN INGERSOLL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
3303 FREDERICK AVE, SAINT JOSEPH, MO 64506-2985
(816) 364-3836
(816) 390-8546
Mailing address
3303 FREDERICK AVE, SAINT JOSEPH, MO 64506-2985
(816) 364-3836
(816) 390-8546
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
00710
MO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
18596015
BC/BS
MO
Enumeration date
08/31/2006
Last updated
07/08/2007
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