Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 2251N0400X | Physical Therapist - Neurology | 2009001277 | MO |
NPI | 1114160785 |
---|---|
Provider Name | Lee Ann Sherry |
First Address | Overland Park, KS 66212-6041 |
Second Address | Kansas City, MO 64128-2226 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 13/04/2009 |
Last Update Date | 13/04/2009 |