Individual
DR. JOHN MICHAEL DICAPO
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DPT, ATC
Contact information
Practice address
1110 NE 85 CT, KANSAS CITY, MO 64155
(414) 559-0960
Mailing address
1110 NE 85 CT, KANSAS CITY, MO 64155
(414) 559-0960
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
070017748
IL
225100000X
Physical Therapist
1103850
KS
225100000X
Physical Therapist
2008020470
MO
2255A2300X
Athletic Trainer
2008004998
MO
2255A2300X
Athletic Trainer
2400609
KS
Other
Enumeration date
05/01/2007
Last updated
08/04/2010
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