Individual
MITCHELL MARKLAND HACKMAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PT, DPT
Contact information
Practice address
9760 N ASH AVE, KANSAS CITY, MO 64157-9742
(816) 792-0803
(816) 407-9400
Mailing address
7381 W 133RD ST, STE 302, OVERLAND PARK, KS 66213-4772
(913) 904-1128
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
11-05853
KS
225100000X
Physical Therapist
Primary
2018024531
MO
Other
Enumeration date
05/18/2018
Last updated
07/09/2021
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