Kara Eileen Azotea, PT, DPT
Individual provider Active NPI Physical Therapist · Raytown, MO
NPI 1124680400 · NPPES record last updated Jul 8, 2019
Key facts
- NPI
- 1124680400
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Physical Therapist 225100000X
- License
- 2016027639 (MO)
- Practice address
- 10801 E State Route 350 Ste B
Raytown, MO 64138-2384 - Phone
- (816) 737-5502
- Fax
- (816) 737-5504
- NPI assigned
- Jul 8, 2019
- 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)
- Yes
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| PT32246 | FL | MD | Physical Therapist |
| 089050 | IA | MD | Physical Therapist |
| 11-0676 | KS | MD | Physical Therapist |
| 2016027639 | MO | MD | Physical Therapist |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapist | 225100000X | 11-0676 | KS | |
| Physical Therapist | 225100000X | PT32246 | FL | |
| Physical Therapist | 225100000X | 089050 | IA | |
| Physical Therapist | 225100000X | 2016027639 | MO | Yes |
Addresses
Primary practice location
10801 E State Route 350 Ste B
Raytown, MO 64138-2384
Mailing address
6397 Lee Hwy Ste 300
Chattanooga, TN 37421-4915
Phone (423) 238-7217
Other providers in Raytown, MO
- Madison Suzanne Anderson
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- Maximo Aquilizan Jr.
- Ashay LLC
- Assisting Hands Touching Hearts, LLC
- Sherri Baker
- Charles A Banks
- Baobab Transportation Services LLC
- Barbara L. Andrews Memorial Housing Association
- Barbara'S Precious Generation Child Care
All providers in Raytown, MO · Physical Therapist in Missouri
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jul 8, 2019. 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.