Organization
BLUE RIDGE PHYSICAL THERAPY
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MICHAEL WOODWARD MPT (OWNER)
(816) 739-0884
Entity
Organization
Contact information
Practice address
373 W 101ST TER, STE 200, KANSAS CITY, MO 64114-4408
(816) 739-0884
(816) 795-3366
Mailing address
4900 S ARROWHEAD DR, STE B, INDEPENDENCE, MO 64055-6952
(816) 739-0884
(816) 795-3366
Taxonomy
Speciality
Code
Description
License number
State
261QP2000X
Physical Therapy Clinic/Center
Primary
115120
MO
Other
Enumeration date
04/08/2016
Last updated
04/08/2016
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