Healthcare Provider Details

I. General information

NPI: 1720464514
Provider Name (Legal Business Name): AARON KRANZ DPT
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 08/04/2015
Last Update Date: 02/11/2022
Certification Date: 02/01/2022
Deactivation Date:
Reactivation Date:

III. Provider practice location address

519 RT 291
LIBERTY MO
64068
US

IV. Provider business mailing address

11320 N MICHIGAN AVE
KANSAS CITY MO
64155-8910
US

V. Phone/Fax

Practice location:
  • Phone: 816-517-2599
  • Fax:
Mailing address:
  • Phone: 816-517-2599
  • Fax: 816-622-1131

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code225100000X
TaxonomyPhysical Therapist
License Number11705
License Number StateAZ
# 2
Primary TaxonomyN
Taxonomy Code2251X0800X
TaxonomyOrthopedic Physical Therapist
License Number
License Number State
# 3
Primary TaxonomyY
Taxonomy Code2251S0007X
TaxonomySports Physical Therapist
License Number
License Number State

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: