Whalio Doctors

NPI 1063644938

Justin Fricke, PTA

Practitioner Physical Therapy Assistant Kansas City, KS

Practice location

Address
6500 Greeley Ave, Kansas City, KS 66104-2647
Phone
(615) 896-6400
Mailing address
612 N 80th Ter, Kansas City, KS 66112-2508

Registered specialties

Physical Therapy Assistant Primary
Respiratory, Developmental, Rehabilitative and Restorative Service Providers Taxonomy 225200000X Licence T-02537 (KS)

Registry record

NPI
1063644938
Entity type
Individual
Sex (as registered)
Male
NPI issued
11 Aug 2009
Record last updated
11 Aug 2009

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.