Organization
BRIDGE THERAPY LLC
Active
Other names
Bridge Therapy
Organization subpart
No
Provider details
NPI number
Authorized official
MR. DEREK EVANS (CEO)
(913) 744-1138
Entity
Organization
Contact information
Practice address
12817 MELROSE ST, OVERLAND PARK, KS 66213-3455
(913) 744-1138
Mailing address
12817 MELROSE ST, OVERLAND PARK, KS 66213-3455
(913) 744-1138
Taxonomy
Speciality
Code
Description
License number
State
261QH0700X
Hearing and Speech Clinic/Center
—
—
261QP2000X
Physical Therapy Clinic/Center
Primary
—
—
261QX0100X
Occupational Medicine Clinic/Center
—
—
Other
Enumeration date
08/07/2025
Last updated
08/07/2025
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