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General NPI Number Information
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NPI Number | 1356264972
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Entity Type | Organization
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Legal Business Name | THE PELVIC PLACE KC LLC
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Dates
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Enumeration Date | 07/31/2026
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Last Update Date | 07/31/2026
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Provider Practice Location Address
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Address Line | 105 S JEFFERSON ST STE B6
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City | KEARNEY
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State | MO
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Zip | 64060-8833
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Country | US
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Telephone | 816-977-3870
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Fax |
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Provider Business Mailing Address
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Address Line | 6011 N BALES AVE
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City | KANSAS CITY
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State | MO
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Zip | 64119-1935
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Country | US
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Telephone | 816-977-3870
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Fax |
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Authorized Official
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Title or Position | DOCTOR OF PHYSICAL THERAPY
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Name | DR. MICHAELA LUPO
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Credential | DPT
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Telephone | 816-977-3870
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 225100000X
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Taxonomy Name | Physical Therapist
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License Number |
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License Number State |
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