Individual
MRS. AMY BAX
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PTA
Contact information
Practice address
1200 W COLLEGE ST, LIBERTY, MO 64068-1036
(816) 781-3020
Mailing address
8209 NE 103RD ST, KANSAS CITY, MO 64157-8007
(816) 838-1028
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
2003009195
MO
Other
Enumeration date
05/11/2017
Last updated
05/11/2017
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