Individual
JEREMY ELAM
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DPT
Contact information
Practice address
1535 NE DOUGLAS ST, LEES SUMMIT, MO 64086-4611
(816) 347-1596
Mailing address
1206 SW ARBORWAY DR, LEES SUMMIT, MO 64082-4106
(309) 531-7603
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
11-06999
KS
225100000X
Physical Therapist
Primary
2023008583
MO
Other
Enumeration date
06/12/2022
Last updated
04/21/2026
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