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General NPI Number Information
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NPI Number | 1801143516
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Entity Type | Individual
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Provider Name | JENNIFER KAY BEDELL DPT
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Gender | Female
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Dates
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Enumeration Date | 08/13/2012
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Last Update Date | 08/13/2012
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Provider Practice Location Address
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Address Line | 6700 ANTIOCH RD STE 120
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City | MERRIAM
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State | KS
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Zip | 66204-1200
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Country | US
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Telephone | 866-502-3190
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Fax |
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Provider Business Mailing Address
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Address Line | 700 SW MURRAY RD
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City | LEES SUMMIT
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State | MO
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Zip | 64081-2351
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Country | US
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Telephone | 816-516-4888
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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 | 225100000X
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Taxonomy Name | Physical Therapist
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License Number | 2012024999
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License Number State | MO
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Taxonomy #2
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Taxonomy Code | 225100000X
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Taxonomy Name | Physical Therapist
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License Number | 11-04439
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License Number State | KS
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