Individual
NANCY JEAN WATT
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PTA
Contact information
Practice address
111 NW MOCK AVE, BLUE SPRINGS, MO 64014-2503
(816) 228-5655
(816) 228-8480
Mailing address
1300 SW SHAWNEE ST, BLUE SPRINGS, MO 64015-5430
(816) 228-3339
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
116878
MO
Other
Enumeration date
05/21/2007
Last updated
07/08/2007
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