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NPI Code Detail

MEDICARE: CARRIE SUZANNE GUILFOYLE

MEDICARE: CARRIE SUZANNE GUILFOYLE
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 Therapist2001017951MO

General Provider Information

NPI Number : 1568502250
Entity Type Code : Individual
Provider Name (Legal Business Name) : CARRIE SUZANNE GUILFOYLE
Provider Business Mailing Address
First Line : 2421 SW CABIN CAMP LN
Second Line :
City : LEES SUMMIT
State : MO
Zip : 64082-4189
Country : US
Telephone Number : 816-525-9356
Fax Number : 816-525-0978
Provider Business Practice Location Address
First Line : 2133 NW 13TH ST
Second Line :
City : BLUE SPRINGS
State : MO
Zip : 64015-7734
Country : US
Telephone Number : 816-224-0003
Fax Number : 816-224-2199
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 02/08/2007
Last Update Date : 07/08/2007

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Directions to “ CARRIE SUZANNE GUILFOYLE ” Practice Location

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