Individual
RACHEL GREENWADE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PT, DPT
Contact information
Practice address
2401 GILLHAM RD, KANSAS CITY, MO 64108-4619
(816) 234-3000
(816) 302-9939
Mailing address
2401 GILLHAM RD, ATTN: PROVIDER ENROLLMENT DEPARTMENT, KANSAS CITY, MO 64108-4619
(818) 701-5200
(815) 302-9939
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
11-06930
KS
225100000X
Physical Therapist
Primary
2021048828
MO
225100000X
Physical Therapist
PT36069
FL
Other
Enumeration date
08/16/2020
Last updated
11/13/2024
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