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NPI Code Detail

MEDICARE: DR. JESSICA A CRAINE DPT

MEDICARE: DR. JESSICA A CRAINE DPT
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
1225100000XPhysical TherapistKS11-04158KS
2225100000XPhysical Therapist2013032376MO

General Provider Information

NPI Number : 1205196342
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. JESSICA A CRAINE DPT
Provider Business Mailing Address
First Line : 8434 WARD PKWY
Second Line :
City : KANSAS CITY
State : MO
Zip : 64114-2031
Country : US
Telephone Number : 816-237-1926
Fax Number : 816-237-1983
Provider Business Practice Location Address
First Line : 8434 WARD PKWY
Second Line :
City : KANSAS CITY
State : MO
Zip : 64114-2031
Country : US
Telephone Number : 816-237-1926
Fax Number : 816-237-1983
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 05/23/2012
Last Update Date : 09/02/2013

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Directions to “ DR. JESSICA A CRAINE DPT” Practice Location

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