Individual
VICKI D GINES
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PT, DPT
Contact information
Practice address
2800 CLAY EDWARDS DR, NORTH KANSAS CITY, MO 64116-3220
(816) 691-1358
Mailing address
6908 N BROOKSIDE RD, PLEASANT VALLEY, MO 64068-9589
(816) 415-4092
(816) 415-3671
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
2003007584
MO
Other
Enumeration date
04/23/2007
Last updated
07/08/2007
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