Individual
EVAN HANSEN RUDOLPH
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
827 NE LAKEWOOD BLVD, LEES SUMMIT, MO 64064-1366
(816) 533-6931
Mailing address
1200 CORPORATE DR STE 400, HOOVER, AL 35242-5424
(423) 238-7217
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
2026008296
MO
Other
Enumeration date
02/23/2026
Last updated
02/23/2026
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