Healthcare Provider Details

I. General information

NPI: 1245682764
Provider Name (Legal Business Name): DANIELLE ELIZABETH LANFERMANN DPT, ATC
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 07/08/2016
Last Update Date: 03/12/2026
Certification Date: 03/12/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

800 RAVENHILL DR
ATCHISON KS
66002-9204
US

IV. Provider business mailing address

2100 SWIFT AVE
NORTH KANSAS CITY MO
64116-3426
US

V. Phone/Fax

Practice location:
  • Phone: 913-367-2131
  • Fax: 913-674-2023
Mailing address:
  • Phone: 816-474-8877
  • Fax: 816-474-8878

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code2255A2300X
TaxonomyAthletic Trainer
License Number24-00773
License Number StateKS
# 2
Primary TaxonomyY
Taxonomy Code225100000X
TaxonomyPhysical Therapist
License Number2016023768
License Number StateMO
# 3
Primary TaxonomyN
Taxonomy Code225100000X
TaxonomyPhysical Therapist
License Number11-05392
License Number StateKS

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: