Healthcare Provider Details

I. General information

NPI: 1427130012
Provider Name (Legal Business Name): MICHELLE LEE RIPPE MS, PT
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 10/20/2006
Last Update Date: 07/08/2007
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2401 GILLHAM RD
KANSAS CITY MO
64108-4619
US

IV. Provider business mailing address

301 W 82ND ST
KANSAS CITY MO
64114-2472
US

V. Phone/Fax

Practice location:
  • Phone: 816-234-3380
  • Fax:
Mailing address:
  • Phone: 816-456-5417
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code2251P0200X
TaxonomyPediatric Physical Therapist
License Number117808
License Number StateMO
# 2
Primary TaxonomyN
Taxonomy Code2251P0200X
TaxonomyPediatric Physical Therapist
License Number1102652
License Number StateKS

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: