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Organization

MODERN PHYSICAL THERAPY PC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
LISA RENE AULNER (OFFICE MANAGER)
(816) 468-5278
Entity
Organization

Contact information

Practice address
335 NW BARRY RD, KANSAS CITY, MO 64155-2740
(816) 468-5278
(816) 285-5278
Mailing address
335 NW BARRY RD, KANSAS CITY, MO 64155-2740
(816) 468-5278
(816) 285-5278

Taxonomy

Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
34828017
BCBS
MO
Enumeration date
06/01/2006
Last updated
07/28/2014
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