Individual
JONATHAN WESLEY THOMAS BUNDRICK
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DPT
Contact information
Practice address
10801 E STATE ROUTE 350, RAYTOWN, MO 64138-2367
(816) 737-5502
(816) 737-5504
Mailing address
8823 PRODUCTION LN, OOLTEWAH, TN 37363-6511
(423) 238-7217
(423) 238-3473
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
2015027081
MO
Other
Enumeration date
08/21/2015
Last updated
08/21/2015
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