NPI 1023542651
Jonelle Frederico, LPTA
Practice location
- Address
- 12100 Wornall Rd, Kansas City, MO 64145-1764
- Phone
- (816) 214-6912
Registered specialties
Physical Therapy Assistant
Primary
Registry record
- NPI
- 1023542651
- Entity type
- Individual
- Sex (as registered)
- Female
- NPI issued
- 20 Apr 2017
- Record last updated
- 20 Apr 2017
Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.