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NPI Code Detail

MEDICARE: SPINE & EXTREMITY REHABILITATION CENTER OF KANSAS CITY NORTH INC

MEDICARE: SPINE & EXTREMITY REHABILITATION CENTER OF KANSAS CITY NORTH INC
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 Therapist103074MO

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
127888022OTHERMOBCBS

General Provider Information

NPI Number : 1962450569
Entity Type Code : Organization
Provider Name (Legal Business Name) : SPINE & EXTREMITY REHABILITATION CENTER OF KANSAS CITY NORTH INC
Provider Business Mailing Address
First Line : 220 NW PLATTE VALLEY DR
Second Line :
City : RIVERSIDE
State : MO
Zip : 64150-9793
Country : US
Telephone Number : 816-505-3422
Fax Number : 816-505-3312
Provider Business Practice Location Address
First Line : 220 NW PLATTE VALLEY DR
Second Line :
City : RIVERSIDE
State : MO
Zip : 64150-9793
Country : US
Telephone Number : 816-505-3422
Fax Number : 816-505-3312
Authorized Official
Title or Position : CLINIC DIRECTOR/OWNER
Name : ROBERT A MITCHELL
Credential : PT
Telephone Number : 816-505-3422
Provider Enumeration Date : 05/05/2006
Last Update Date : 11/02/2012

Similar Medicare Providers

1801847124 — ROBERT ALAN MITCHELL PT, BSPT
Practice Location Address:
220 NW PLATTE VALLEY DR
RIVERSIDE, MO
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Practice Phone: 816-741-6374
Practice Fax: 816-505-3312
1700140258 — SERC REHABILITATION PARTNERS, LLC
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1821401530 — RILEY TEGAN ATWELL PT, DPT
Practice Location Address:
220 NW PLATTE VALLEY DR
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64150-9793
Practice Phone: 816-505-3422
Practice Fax: 816-505-3312
1073121208 — RACHEL LYNN KIMMICH PT, DPT
Practice Location Address:
220 NW PLATTE VALLEY DR
RIVERSIDE, MO
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Practice Fax: 816-505-3312
1316537491 — MACKENZIE MARIE FREEMAN PT, DPT
Practice Location Address:
220 NW PLATTE VALLEY DR
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Practice Fax: 816-505-3312
1487329231 — SHELBY JENNINGS SAILOR PTA
Practice Location Address:
220 NW PLATTE VALLEY DR
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64150-9793
Practice Phone: 816-741-6374
Practice Fax: 816-505-3312

Directions to “SPINE & EXTREMITY REHABILITATION CENTER OF KANSAS CITY NORTH INC ” Practice Location

Language Start Address Practice Location
These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

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