MEDICARE: HYERI JUNG

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	225100000X	Physical Therapist	CP054457T	MO

General Provider Information

NPI Number	:	1174298376
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	HYERI JUNG

Provider Business Mailing Address
First Line	:	3304 N 35TH ST
Second Line	:
City	:	KANSAS CITY
State	:	KS
Zip	:	66104-3712
Country	:	US
Telephone Number	:	213-505-6286
Fax Number	:

Provider Business Practice Location Address
First Line	:	6264 LEWIS ST
Second Line	:	SUITE 100
City	:	PARKVILLE
State	:	MO
Zip	:	64152
Country	:	US
Telephone Number	:	816-587-8001
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	08/10/2021
Last Update Date	:	04/21/2026

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Directions to “ HYERI JUNG ” Practice Location

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