Doctor Name: | ELIZABETH A DAZE |
NPI Number: | 1104865997 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | DPT |
License Number: | 2006021634 |
Business Practice Address: | 13847 W 63rd St Ste 2 Shawnee, KS - 662163800 |
Business Phone Number: | 9139627770 |
Business Fax Number: | 9139627775 |
Mailing Address: | 17134 Bel Ray Pl, BELTON |
State: | MO |
Postal Code: | 640125331 |
Phone Number: | 8162264011 |
Fax Number: | 8165246115 |
NPI Enumeration Date: | 06/06/2006 |
NPI Last Update Date: | 01/21/2014 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 225100000X |
License Number: | 2006021634 |
Healthcare Provider Taxonomy: (Secondary) | N |
State: | MO |
Taxonomy Type: | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
Taxonomy Classification: | Physical Therapist |
Taxonomy Specialization: | |
Taxonomy Definition: | (1) Physical therapists are health care professionals who evaluate and treat people with health problems resulting from injury or disease. PT |