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Individual

MIRANDA LYTLE

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
DPT

Contact information

Practice address
2525 GLENN HENDREN DR, LIBERTY, MO 64068-9625
(816) 352-3670
Mailing address
2525 GLENN HENDREN DR, LIBERTY, MO 64068-9625

Taxonomy

Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
2019019571
MO

Other

Enumeration date
11/01/2024
Last updated
11/01/2024
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