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Individual

CARLEE MIKYLA MENDOZA

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
DPT

Contact information

Practice address
4801 E LINWOOD BLVD, KANSAS CITY, MO 64128-2226
(816) 861-4700
Mailing address
6122 NOLAND RD, SHAWNEE, KS 66216-1712

Taxonomy

Speciality
Code
Description
License number
State
225100000X
Physical Therapist
11-07267
KS
225100000X
Physical Therapist
Primary
2023004466
MO

Other

Enumeration date
12/05/2024
Last updated
12/05/2024
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