Healthcare Provider Details

I. General information

NPI: 1902734510
Provider Name (Legal Business Name): DAYLIGHT PHYSICAL THERAPY
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 05/12/2026
Last Update Date: 05/12/2026
Certification Date: 05/12/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

463 SW WARD RD
LEES SUMMIT MO
64081-2448
US

IV. Provider business mailing address

1005 NE SCENIC CIR
LEES SUMMIT MO
64064-2487
US

V. Phone/Fax

Practice location:
  • Phone: 816-807-9375
  • Fax:
Mailing address:
  • Phone: 816-807-9375
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code261QP2000X
TaxonomyPhysical Therapy Clinic/Center
License Number
License Number State

VIII. Authorized Official

Name: DAVID LYDAY
Title or Position: OWNER
Credential:
Phone: 816-807-9375