Individual
DWAYNE WOLDRUFF
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PT, DPT
Contact information
Practice address
2100 SWIFT AVE, NORTH KANSAS CITY, MO 64116-3426
(816) 474-8877
Mailing address
2100 SWIFT AVE, NORTH KANSAS CITY, MO 64116-3426
(816) 474-8877
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
2018024456
MO
Other
Enumeration date
07/09/2018
Last updated
07/09/2018
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