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Organization

RESTORE MUSCLE AND JOINT, LLC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
MR. TROY AARON PEARSON (OWNER)
(816) 686-4551
Entity
Organization

Contact information

Practice address
4119 NW BARRY RD, KANSAS CITY, MO 64154-1100
(816) 452-4488
(816) 452-4491
Mailing address
4119 NW BARRY RD, KANSAS CITY, MO 64154-1100
(816) 452-4488
(816) 452-4491

Taxonomy

Speciality
Code
Description
License number
State
207X00000X
Orthopaedic Surgery Physician
Primary
208100000X
Physical Medicine & Rehabilitation Physician
2085R0204X
Vascular & Interventional Radiology Physician

Other

Enumeration date
07/05/2012
Last updated
06/17/2024
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