Individual
TIFFANEE ROGERS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
2401 GILLHAM RD, KANSAS CITY, MO 64108-4619
(816) 701-5200
Mailing address
2401 GILLHAM RD, KANSAS CITY, MO 64108-4619
(816) 701-5200
Taxonomy
Speciality
Code
Description
License number
State
171W00000X
Contractor
—
—
225X00000X
Occupational Therapist
17-04036
KS
225X00000X
Occupational Therapist
Primary
2022021373
MO
Other
Enumeration date
04/30/2015
Last updated
12/13/2022
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