Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 225200000X | Physical Therapy Assistant | 14-02276 | KS |
NPI | 1003181009 |
---|---|
Provider Name | Adrienne E Echols |
First Address | Weatherby Lake, MO 64152-1666 |
Second Address | Parkville, MO 64152-4027 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 09/03/2012 |
Last Update Date | 29/11/2018 |