Individual
ANGELA KAY CALLICOTT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PT
Contact information
Practice address
220 NW RD MIZE RD, SUITE B203, BLUE SPRINGS, MO 64014-2527
(913) 220-0223
Mailing address
10460 MASTIN ST, SUITE 150, OVERLAND PARK, KS 66212-5701
(913) 492-7870
(913) 492-3447
Taxonomy
Speciality
Code
Description
License number
State
2251X0800X
Orthopedic Physical Therapist
Primary
101234
MO
Other
Enumeration date
11/02/2007
Last updated
11/02/2007
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