Individual
KATHERINE M ROY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PT, DPT
Contact information
Practice address
4500 E 105TH ST, KANSAS CITY, MO 64137-1569
(207) 951-2131
(866) 220-5031
Mailing address
4500 E 105TH ST, KANSAS CITY, MO 64137-1569
(207) 951-2131
(866) 220-5031
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
PT3442
ME
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1821234691
ANTHEM
ME
01
—
9113270
AETNA
ME
01
—
P00677352
RR MEDICARE
ME
Enumeration date
12/29/2008
Last updated
10/05/2011
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