NPIMap

Aubree L Hendershot, DPT

Individual provider Active NPI Physical Therapist · Grain Valley, MO

NPI 1821223751 · NPPES record last updated May 15, 2014

Key facts

NPI
1821223751
Entity type
Individual (NPI type 1)
Primary specialty
Physical Therapist 225100000X
License
2009027340 (MO)
Practice address
638 NW Jefferson St
Grain Valley, MO 64029-8278
Phone
(816) 836-0800
Fax
(816) 836-3229
NPI assigned
May 21, 2009
Sex
Female
Sole proprietor
No

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

Medicare participation

Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

Medicare enrollment (NPD)
Yes

State licenses

LicenseStateTypeSpecialty
11-04235KSMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Spine & Extremity Rehabilitation Center of Kansas City North Inc Physical Therapist Past Accepting new patients

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapist 225100000X 11-04235 KS
Physical Therapist 225100000X 2009027340 MO Yes

Addresses

Primary practice location

638 NW Jefferson St
Grain Valley, MO 64029-8278

Mailing address

638 NW Jefferson St
Grain Valley, MO 64029-8278
Phone (816) 836-0800

Other names

  • Aubree L Mullinix Former name

Other providers in Grain Valley, MO

All providers in Grain Valley, MO · Physical Therapist in Missouri

Sources for this page

Verify at the official NPI Registry.