Organization
JAYHAWK PRIMARY CARE INC
Active
Parent organization
JAYHAWK PRIMARY CARE INC
Other names
STATE AVENUE THERAPY
Organization subpart
Yes
Provider details
NPI number
Legal business name
JAYHAWK PRIMARY CARE INC
Authorized official
ANGELA MAUCH (DIRECTOR OF PHYSICIAN REVENUE)
(913) 588-6711
Entity
Organization
Contact information
Practice address
4810 STATE AVE, STATE AVENUE THERAPY, KANSAS CITY, KS 66102-1748
(913) 321-4567
(913) 321-6789
Mailing address
2330 SHAWNEE MISSION PKWY, MEDICAL ADMINISTRATIVE SERVICES OF KU MED, STE.312, WESTWOOD, KS 66205-2005
(913) 588-9000
(913) 588-9822
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
—
—
225X00000X
Occupational Therapist
—
—
Other
Enumeration date
03/13/2007
Last updated
05/14/2020
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