Organization
SPINE & EXTREMITY REHABILITATION CENTER OF KANSAS CITY NORTH INC
Active
Other names
SERC of Kansas City North; SERC of Metro North
Organization subpart
No
Provider details
NPI number
Authorized official
ROBERT A MITCHELL PT (CLINIC DIRECTOR/OWNER)
(816) 505-3422
Entity
Organization
Contact information
Practice address
220 NW PLATTE VALLEY DR, RIVERSIDE, MO 64150-9793
(816) 505-3422
(816) 505-3312
Mailing address
220 NW PLATTE VALLEY DR, RIVERSIDE, MO 64150-9793
(816) 505-3422
(816) 505-3312
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
103074
MO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
27888022
BCBS
MO
Enumeration date
05/05/2006
Last updated
11/02/2012
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