Healthcare Provider Details

I. General information

NPI: 1326950064
Provider Name (Legal Business Name): EMILY LOUCKS
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 09/18/2026
Last Update Date: 09/18/2026
Certification Date: 09/18/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

373 W 101ST TER STE 220
KANSAS CITY MO
64114-4408
US

IV. Provider business mailing address

1650 LYNDON FARM CT STE 300
LOUISVILLE KY
40223-5005
US

V. Phone/Fax

Practice location:
  • Phone: 816-489-4161
  • Fax: 816-942-3944
Mailing address:
  • Phone: 726-202-3039
  • Fax: 210-978-5592

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code225200000X
TaxonomyPhysical Therapy Assistant
License Number2022041248
License Number StateMO

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: