Individual
JULIE MARIE GUINN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PT
Contact information
Practice address
815 WESTCHESTER AVE, HARRISONVILLE, MO 64701-1784
(816) 380-3344
(816) 380-3044
Mailing address
8823 PRODUCTION LN, OOLTEWAH, TN 37363-6511
(816) 226-4011
(816) 524-6115
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
11-04824
KS
225100000X
Physical Therapist
Primary
2014024221
MO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000458
OPTUM
—
01
—
50760011
BCBS-KC
—
01
—
KA2868058
MEDICARE PTAN
KS
01
—
MA4370082
MEDICARE PTAN
MO
Enumeration date
06/12/2014
Last updated
10/02/2014
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