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NPI Code Detail

MEDICARE: MRS. ALICIA ERIN HYDE PT

MEDICARE:  MRS. ALICIA ERIN HYDE  PT
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 Therapist70014477IL
2225100000XPhysical Therapist2004029093MO
3225100000XPhysical Therapist11-03697KS

General Provider Information

NPI Number : 1912050410
Entity Type Code : Individual
Provider Name (Legal Business Name) : MRS. ALICIA ERIN HYDE PT
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 : 01/19/2007
Last Update Date : 10/22/2007

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Directions to “ MRS. ALICIA ERIN HYDE PT” Practice Location

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