Individual
TERA NICOLE EVANS-DERR
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PT, DPT
Contact information
Practice address
8880 NE 82ND TER, KANSAS CITY, MO 64158-1313
(816) 271-6636
Mailing address
8880 NE 82ND TER, KANSAS CITY, MO 64158-1313
(816) 437-8262
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
2012013469
MO
Other
Enumeration date
07/15/2011
Last updated
11/22/2017
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