Individual
CRYSTAL THEIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DPT
Contact information
Practice address
851 NW 45TH ST STE 209, KANSAS CITY, MO 64116-4613
(816) 451-1633
(816) 451-1635
Mailing address
851 NW 45TH ST STE 209, KANSAS CITY, MO 64116-4613
(816) 451-1633
(816) 451-1635
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
2011014027
MO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
2011020077
PT LICENSE #
MO
Enumeration date
05/31/2011
Last updated
04/29/2016
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