Individual
MICHAEL STOUT
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DPT
Contact information
Practice address
9544 ANTIOCH RD, OVERLAND PARK, KS 66212-4058
(913) 396-6756
(913) 871-7132
Mailing address
2122 YORK RD STE 300, OAK BROOK, IL 60523-1925
(630) 575-1980
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
11-07552
KS
Other
Enumeration date
03/13/2024
Last updated
03/13/2024
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