Individual
BRIAN JAMES WALSTROM
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PTA
Contact information
Practice address
8880 NE 82ND TER, KANSAS CITY, MO 64158-1313
(816) 437-8122
(816) 407-9609
Mailing address
8880 NE 82ND TER, KANSAS CITY, MO 64158-1313
(816) 437-8122
(816) 407-9609
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
2014037309
MO
Other
Enumeration date
01/18/2017
Last updated
01/18/2017
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