Individual
AMANDA RAE BIRDSONG
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
111 NE MOCK AVE, BLUE SPRINGS, MO 64014-2503
(816) 220-4200
Mailing address
423 SW JOSEPH LN, GRAIN VALLEY, MO 64029-8411
(816) 844-1496
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
2023016599
MO
Other
Enumeration date
06/22/2023
Last updated
06/22/2023
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