NPI 1063644938
Justin Fricke, PTA
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
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.