Healthcare Provider Details

I. General information

NPI: 1114324753
Provider Name (Legal Business Name): ADVANCED ARM DYNAMICS OF KANSAS CITY LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 11/25/2014
Last Update Date: 01/16/2025
Certification Date: 01/16/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

7000 W 121ST ST SUITE 210
OVERLAND PARK KS
66209-2008
US

IV. Provider business mailing address

123 W TORRANCE BLVD STE 203
REDONDO BEACH CA
90277-3614
US

V. Phone/Fax

Practice location:
  • Phone: 913-220-2024
  • Fax:
Mailing address:
  • Phone: 310-372-3050
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code225XH1200X
TaxonomyHand Occupational Therapist
License Number
License Number State
# 2
Primary TaxonomyY
Taxonomy Code335E00000X
TaxonomyProsthetic/Orthotic Supplier
License Number
License Number State

VIII. Authorized Official

Name: JOHN M MIGUELEZ
Title or Position: PRESEIDENT
Credential: CP, FAAOP
Phone: 310-372-3050