NPI 1194356121

Ivan Pancic

Practitioner Massage Therapist Overland Park, KS

Practice location

Address: 10841 W 87th St STE 200, Overland Park, KS 66214-1660
Phone: (913) 825-3900
Mailing address: 7428 N Hunter CT, Kansas City, MO 64158-1048

Registered specialties

Massage Therapist Primary

Respiratory, Developmental, Rehabilitative and Restorative Service Providers Taxonomy 225700000X Licence THR-0655677 (KS)

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Registry record

NPI: 1194356121
Entity type: Individual
Sex (as registered): Male
NPI issued: 29 Jan 2020
Record last updated: 29 Jan 2020

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.