Individual
DEVAN MYRINDA HERONEMUS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PT, DPT
Contact information
Practice address
10074 WOODLAND DR, LENEXA, KS 66220-3802
(913) 764-0389
(139) 764-0391
Mailing address
1200 CORPORATE DR STE 400, HOOVER, AL 35242-5424
(423) 238-7217
(423) 238-3473
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
11-05902
KS
225100000X
Physical Therapist
2018023462
MO
Other
Enumeration date
05/25/2018
Last updated
11/30/2020
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