Healthcare Provider Details

I. General information

NPI: 1245161900
Provider Name (Legal Business Name): DORINDA TEEM LPTA
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 05/28/2026
Last Update Date: 05/28/2026
Certification Date: 05/28/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

318 CEDAR ST
PLEASANT HILL MO
64080-1227
US

IV. Provider business mailing address

25411 E STRODE RD
BLUE SPRINGS MO
64015-9641
US

V. Phone/Fax

Practice location:
  • Phone: 816-540-2119
  • Fax:
Mailing address:
  • Phone: 816-213-7767
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code225200000X
TaxonomyPhysical Therapy Assistant
License Number117526
License Number StateMO

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: