Individual
MR. EDWARD DELANEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PT, ATC/L
Contact information
Practice address
19550 E 39TH ST S, SUITE 425, INDEPENDENCE, MO 64057-2303
(816) 698-8846
Mailing address
5917 NE CORAL CIRCLE, LEES SUMMIT, MO 64064
(816) 729-4116
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
2005028110
MO
2255A2300X
Athletic Trainer
2010017179
MO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
2005028110
STATE LICENSE
MO
01
—
2010017179
STATE LICENSE - ATHLETIC TRAINING
MO
Enumeration date
06/23/2007
Last updated
12/06/2013
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