Individual
MEGAN MARIE MENGELKOCH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PTA
Contact information
Practice address
101 NW ENGLEWOOD RD STE 110, KANSAS CITY, MO 64118-4040
(816) 413-0900
(816) 413-0737
Mailing address
200 W DOUGLAS AVE STE 1040, WICHITA, KS 67202-3017
(316) 263-0003
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
2019011914
MO
Other
Enumeration date
11/05/2019
Last updated
11/05/2019
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