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Individual

JASON DALEY

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
CPTA

Contact information

Practice address
8100 WORNALL RD, KANSAS CITY, MO 64114-5806
(816) 363-5141
Mailing address
7405 BALLENTINE ST, SHAWNEE, KS 66203-4515
(785) 640-5088

Taxonomy

Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
2010037364
MO

Other

Enumeration date
02/09/2012
Last updated
02/09/2012
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