MEDICARE: HEATHER GOIST FOLEY RPT

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	2251S0007X	Sports Physical Therapist	11-02189	KS
2	225100000X	Physical Therapist	109154	MO

Medicare Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
2	650010779	OTHER		RAILROAD MEDICARE

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
3	635250	OTHER	KS	KANSAS FIRSTGUARD
4	22783028	OTHER	MO	BCBS KC
5	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1841392123
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	HEATHER GOIST FOLEY RPT

Provider Business Mailing Address
First Line	:	3215 MAIN ST
Second Line	:
City	:	KANSAS CITY
State	:	MO
Zip	:	64111-2645
Country	:	US
Telephone Number	:	816-472-1800
Fax Number	:

Provider Business Practice Location Address
First Line	:	3215 MAIN ST STE 202
Second Line	:
City	:	KANSAS CITY
State	:	MO
Zip	:	64111-1946
Country	:	US
Telephone Number	:	816-472-1800
Fax Number	:

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

Provider Enumeration Date	:	09/05/2006
Last Update Date	:	03/05/2020

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Directions to “ HEATHER GOIST FOLEY RPT” Practice Location

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