Individual
JALEXIS LANHEA PETERSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PTA
Contact information
Practice address
721 N 81ST TER, KANSAS CITY, KS 66112-2519
(913) 484-5606
Mailing address
721 N 81ST TER, KANSAS CITY, KS 66112-2519
(913) 484-5606
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
—
—
Other
Enumeration date
01/26/2022
Last updated
01/26/2022
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