NPI Code Details Logo

NPI 1124233093

NPI 1124233093 : STACIA TROSHYNSKI BROWN P.T., D.P.T. : SHAWNEE MISSION, KS

=====================================================
General NPI Number Information
=====================================================
    NPI Number           |    1124233093
-----------------------------------------------------
    Entity Type          |    Individual 
-----------------------------------------------------
    Provider Name        |    STACIA TROSHYNSKI BROWN P.T., D.P.T.
-----------------------------------------------------
    Gender               |    Female 
-----------------------------------------------------

=====================================================
Dates
=====================================================
    Enumeration Date     |    05/13/2007
-----------------------------------------------------
    Last Update Date     |    07/08/2007
-----------------------------------------------------

=====================================================
Provider Practice Location Address
=====================================================
    Address Line         |    9120 W 75TH ST 
-----------------------------------------------------
    City                 |    SHAWNEE MISSION
-----------------------------------------------------
    State                |    KS
-----------------------------------------------------
    Zip                  |    66204-2210
-----------------------------------------------------
    Country              |    US
-----------------------------------------------------
    Telephone            |    913-676-6838
-----------------------------------------------------
    Fax                  |    
-----------------------------------------------------

=====================================================
Provider Business Mailing Address
=====================================================
    Address Line         |    2121 CENTRAL ST #511
-----------------------------------------------------
    City                 |    KANSAS CITY
-----------------------------------------------------
    State                |    MO
-----------------------------------------------------
    Zip                  |    64108-2060
-----------------------------------------------------
    Country              |    US
-----------------------------------------------------
    Telephone            |    816-682-4970
-----------------------------------------------------
    Fax                  |    
-----------------------------------------------------

=====================================================
Authorized Official
=====================================================
    Title or Position    |    
-----------------------------------------------------
    Name                 |        
-----------------------------------------------------
    Credential           |    
-----------------------------------------------------
    Telephone            |    
-----------------------------------------------------

=====================================================
Scope of Practice (Provider's specialty)
=====================================================
Taxonomy #1
-----------------------------------------------------
    Taxonomy Code        |    225100000X
-----------------------------------------------------
    Taxonomy Name        |    Physical Therapist
-----------------------------------------------------
    License Number       |    11-03609
-----------------------------------------------------
    License Number State |    KS
-----------------------------------------------------
Taxonomy #2
-----------------------------------------------------
    Taxonomy Code        |    225100000X
-----------------------------------------------------
    Taxonomy Name        |    Physical Therapist
-----------------------------------------------------
    License Number       |    2007000482
-----------------------------------------------------
    License Number State |    MO
-----------------------------------------------------
Taxonomy #3
-----------------------------------------------------
    Taxonomy Code        |    225100000X
-----------------------------------------------------
    Taxonomy Name        |    Physical Therapist
-----------------------------------------------------
    License Number       |    2447
-----------------------------------------------------
    License Number State |    NE
-----------------------------------------------------



                        

Copyright © 2007-2026 Data Labs Health. All rights reserved.