Organization
MARQUETTE PHYSICAL THERAPY, P.A.
Active
Organization
MARQUETTE PHYSICAL THERAPY, P.A.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. GERALD JOSEPH MARQUETTE III P.T. (OWNER)
(913) 484-7632
Entity
Organization
Contact information
Practice address
13402 BRIAR DR, SUITE C, LEAWOOD, KS 66209-3434
(913) 484-7632
(913) 808-5460
Mailing address
13420 BRIAR DR STE C, LEAWOOD, KS 66209-3434
(913) 484-7632
(913) 808-5460
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
11-02826
KS
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1023128030
INDIVIDUAL NPI NUMBER
KS
01
—
1861571366
NPPES
KS
01
—
37587011
BCBSKC
KS
01
—
860644
BCBS
KS
Enumeration date
11/03/2006
Last updated
04/05/2021
Update your record
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