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Individual

SUSAN M GATES

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
PT, MPT

Contact information

Practice address
4323 N CHOUTEAU TRFY STE E, KANSAS CITY, MO 64117-1756
(816) 452-2827
(816) 452-2493
Mailing address
11212 SUNRISE BLVD E STE 202, PUYALLUP, WA 98374-8847
(253) 435-0360
(215) 413-4631

Taxonomy

Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
2000162942
MO
225100000X
Physical Therapist
61088492
WA
225100000X
Physical Therapist
86803692401
UT

Other

Enumeration date
07/31/2013
Last updated
08/20/2020
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