Individual
EMMA MULLEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PTA
Contact information
Practice address
111 NW MOCK AVE, BLUE SPRINGS, MO 64014-2503
(816) 228-5655
(816) 228-8480
Mailing address
315 NE FOREST AVE, LEES SUMMIT, MO 64063-2615
(816) 554-6023
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
116017
MO
Other
Enumeration date
05/22/2007
Last updated
07/08/2007
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