Individual
DR. MARY KISTLER CROUCH YOUNG
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DPT
Contact information
Practice address
3599 RAINBOW BLVD, KANSAS CITY, KS 66103-2078
(913) 588-1203
Mailing address
6434 ACUFF ST, SHAWNEE, KS 66216-2167
(909) 200-8209
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
11-06245
KS
Other
Enumeration date
10/02/2019
Last updated
10/02/2019
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