Individual
CONSTANCE MARIE TEAGUE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DPT
Contact information
Practice address
2105 KARA CT, SUITE A1, LIBERTY, MO 64068-1392
(816) 407-1249
(816) 407-1259
Mailing address
2105 KARA CT, SUITE A1, LIBERTY, MO 64068-1392
(816) 407-1249
(816) 407-1259
Taxonomy
Speciality
Code
Description
License number
State
111NR0400X
Rehabilitation Chiropractor
Primary
11-04649
KS
Other
Enumeration date
06/04/2013
Last updated
06/26/2013
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