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NPI 1730414970

NPI 1730414970 : SUE A. KLEIN P.T. : LEES SUMMIT, MO

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General NPI Number Information
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    NPI Number           |    1730414970
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    Entity Type          |    Individual 
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    Provider Name        |    SUE A. KLEIN P.T.
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    Gender               |    Female 
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Dates
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    Enumeration Date     |    10/06/2009
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    Last Update Date     |    05/25/2023
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Provider Practice Location Address
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    Address Line         |    3330 NE RALPH POWELL RD 
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    City                 |    LEES SUMMIT
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    State                |    MO
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    Zip                  |    64064-2368
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    Country              |    US
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    Telephone            |    816-886-2968
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    Fax                  |    
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Provider Business Mailing Address
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    Address Line         |    3330 NE RALPH POWELL RD 
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    City                 |    LEES SUMMIT
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    State                |    MO
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    Zip                  |    64064-2368
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    Country              |    US
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    Telephone            |    816-886-2968
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    Fax                  |    
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Authorized Official
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    Title or Position    |    
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    Name                 |        
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    Credential           |    
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    Telephone            |    
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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    Taxonomy Code        |    2251S0007X
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    Taxonomy Name        |    Sports Physical Therapist
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    License Number       |    11-01128
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    License Number State |    KS
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Taxonomy #2
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    Taxonomy Code        |    2251X0800X
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    Taxonomy Name        |    Orthopedic Physical Therapist
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    License Number       |    11-01128
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    License Number State |    KS
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Taxonomy #3
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    Taxonomy Code        |    2251X0800X
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    Taxonomy Name        |    Orthopedic Physical Therapist
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    License Number       |    R0734
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    License Number State |    MO
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