Healthcare Provider Details

I. General information

NPI: 1215459300
Provider Name (Legal Business Name): ADAM HUFF DPT
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 07/11/2017
Last Update Date: 07/11/2017
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

373 W 101ST TER STE 200
KANSAS CITY MO
64114-4561
US

IV. Provider business mailing address

4900 S ARROWHEAD DR STE B
INDEPENDENCE MO
64055-6990
US

V. Phone/Fax

Practice location:
  • Phone: 816-246-1456
  • Fax: 816-286-2774
Mailing address:
  • Phone: 816-795-6999
  • Fax: 816-795-3366

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code225100000X
TaxonomyPhysical Therapist
License Number2017021486
License Number StateMO

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: