Individual
LANGHSTON MIMMS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DPT, MBA
Contact information
Practice address
5675 ROE BLVD STE 240, ROELAND PARK, KS 66205-2515
(913) 632-4750
Mailing address
1104 QUEBEC DR, EAST SAINT LOUIS, IL 62203-2217
(925) 640-0765
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
—
—
Other
Enumeration date
05/16/2025
Last updated
05/16/2025
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