Healthcare Provider Details

I. General information

NPI: 1316445646
Provider Name (Legal Business Name): ALLYSON GAR-MEI NG
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 02/01/2018
Last Update Date: 03/17/2018
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2000 SE BLUE PKWY STE 230
LEES SUMMIT MO
64063-1044
US

IV. Provider business mailing address

2000 SE BLUE PKWY STE 230
LEES SUMMIT MO
64063-1044
US

V. Phone/Fax

Practice location:
  • Phone: 816-525-2840
  • Fax: 816-525-2841
Mailing address:
  • Phone: 816-525-2840
  • Fax: 816-525-2841

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code2255A2300X
TaxonomyAthletic Trainer
License Number
License Number State

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: