Healthcare Provider Details

I. General information

NPI: 1689547986
Provider Name (Legal Business Name): ZOEY HRABOVSKY
Entity Type: Individual
Gender:
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 09/24/2025
Last Update Date: 09/24/2025
Certification Date: 09/24/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

860 HAINES
LIBERTY MO
64068-1006
US

IV. Provider business mailing address

120 SW GARDEN ST
GRAIN VALLEY MO
64029-9548
US

V. Phone/Fax

Practice location:
  • Phone: 816-265-1170
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code225X00000X
TaxonomyOccupational Therapist
License Number2025034170
License Number StateMO

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: