Individual
MELLONY JUNE MANN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DPT
Contact information
Practice address
2401 GILLHAM RD, KANSAS CITY, MO 64108
(816) 234-3380
(816) 346-1372
Mailing address
2401 GILLHAM RD, KANSAS CITY, MO 64108-4619
(816) 234-3380
(816) 346-1372
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
11-04815
KS
225200000X
Physical Therapy Assistant
2008028214
MO
Other
Enumeration date
09/29/2008
Last updated
08/15/2018
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