Kelsey Dirksen
Individual provider Active NPI Physical Therapy Assistant · Kearney, MO
NPI 1083064786 · NPPES record last updated Jun 14, 2016
Key facts
- NPI
- 1083064786
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Physical Therapy Assistant 225200000X
- License
- 2013045759 (MO)
- Practice address
- 200 Meadowbrook Dr
Kearney, MO 64060-8553 - Phone
- (816) 744-8116
- NPI assigned
- Jun 14, 2016
- Sex
- Female
- Sole proprietor
- No
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 2013045759 | MO | MD | Physical Therapy Assistant |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapy Assistant | 225200000X | 2013045759 | MO | Yes |
Addresses
Primary practice location
200 Meadowbrook Dr
Kearney, MO 64060-8553
Mailing address
200 Meadowbrook Dr
Kearney, MO 64060-8553
Other providers in Kearney, MO
- Angela Faye Daniels
- Sara Michele Davenport
- Paula B Dayringer
- Christine Defeo
- Robert Cole Dillman
- Marc Jason Donahue
- Christina Dak-Wai Donze
- Marianna Elizabeth Donzse
- Johncy D Dufresne
- Empathetic Ear Therapy, LLC
All providers in Kearney, MO · Physical Therapy Assistant in Missouri
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jun 14, 2016. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.