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NPI Code Detail

MEDICARE: EUGENE L DESCOTEAUX PT

MEDICARE: EUGENE L DESCOTEAUX PT
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1225100000XPhysical Therapist1007783MO

General Provider Information

NPI Number : 1104943117
Entity Type Code : Individual
Provider Name (Legal Business Name) : EUGENE L DESCOTEAUX PT
Provider Business Mailing Address
First Line : 8434 WARD PKWY
Second Line :
City : KANSAS CITY
State : MO
Zip : 64114-2031
Country : US
Telephone Number : 816-237-1926
Fax Number : 816-237-1983
Provider Business Practice Location Address
First Line : 8434 WARD PKWY
Second Line :
City : KANSAS CITY
State : MO
Zip : 64114-2031
Country : US
Telephone Number : 816-237-1926
Fax Number : 816-237-1983
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 03/23/2007
Last Update Date : 04/27/2009

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Directions to “ EUGENE L DESCOTEAUX PT” Practice Location

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