Individual
ANTHONY MICHAEL MEDINA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PT, DPT
Contact information
Practice address
500 E 112TH ST, KANSAS CITY, MO 64131-3623
(816) 942-3337
(816) 942-3350
Mailing address
6397 LEE HWY STE 300, CHATTANOOGA, TN 37421-2564
(423) 238-7217
(423) 238-3473
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
11-05643
KS
225100000X
Physical Therapist
Primary
2017029218
MO
Other
Enumeration date
07/08/2017
Last updated
07/21/2022
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