Individual
JERRAD O'MALLEY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
2113 E KANSAS CITY RD, OLATHE, KS 66061-7050
(913) 791-0144
Mailing address
22120 MIDLAND DR, STE 1, KANSAS CITY, KS 66112-3574
(913) 745-4064
(913) 745-4352
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
11-07625
KS
Other
Enumeration date
06/25/2024
Last updated
10/04/2024
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