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NPI Code Detail

MEDICARE: ALYSEN PARKER DPT

MEDICARE: ALYSEN PARKER 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 TherapistMO

General Provider Information

NPI Number : 1851155055
Entity Type Code : Individual
Provider Name (Legal Business Name) : ALYSEN PARKER DPT
Provider Business Mailing Address
First Line : 501 NW VESPER ST STE A
Second Line :
City : BLUE SPRINGS
State : MO
Zip : 64014-2745
Country : US
Telephone Number : 816-427-5300
Fax Number : 816-927-6342
Provider Business Practice Location Address
First Line : 501 NW VESPER ST STE A
Second Line :
City : BLUE SPRINGS
State : MO
Zip : 64014-2745
Country : US
Telephone Number : 816-427-5300
Fax Number : 816-927-6342
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 02/08/2024
Last Update Date : 02/08/2024

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Directions to “ ALYSEN PARKER DPT” Practice Location

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