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NPI Code Detail

MEDICARE: WARREN FREVERT

MEDICARE: WARREN FREVERT
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 Therapist2017026649MO

General Provider Information

NPI Number : 1992229793
Entity Type Code : Individual
Provider Name (Legal Business Name) : WARREN FREVERT
Provider Business Mailing Address
First Line : 10107 WINDSOR DR
Second Line :
City : LEES SUMMIT
State : MO
Zip : 64086-6680
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 100 NE TUDOR RD STE 110
Second Line :
City : LEES SUMMIT
State : MO
Zip : 64086-5601
Country : US
Telephone Number : 816-554-6003
Fax Number : 816-554-6013
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 08/02/2017
Last Update Date : 01/14/2026

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Directions to “ WARREN FREVERT ” Practice Location

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