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NPI Code Detail

MEDICARE: MISS LETICIA YURI ISHII NUSS MPT

MEDICARE: MISS LETICIA YURI ISHII NUSS MPT
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 Therapist2024027545MO

General Provider Information

NPI Number : 1285654756
Entity Type Code : Individual
Provider Name (Legal Business Name) : MISS LETICIA YURI ISHII NUSS MPT
Provider Business Mailing Address
First Line : 1200 CORPORATE DR STE 400
Second Line :
City : HOOVER
State : AL
Zip : 35242-5424
Country : US
Telephone Number : 423-238-7217
Fax Number :
Provider Business Practice Location Address
First Line : 9760 N ASH AVE
Second Line :
City : KANSAS CITY
State : MO
Zip : 64157-9742
Country : US
Telephone Number : 816-792-0803
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 07/20/2006
Last Update Date : 09/18/2024

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Directions to “ MISS LETICIA YURI ISHII NUSS MPT” Practice Location

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