| Doctor Name: | JESSICA M DUVALL |
| NPI Number: | 1134555162 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | DPT |
| License Number: | 11-04665 |
| Business Practice Address: | 5250 W 94th Ter Suite 200 Prairie Village, KS - 662072502 |
| Business Phone Number: | 9133451997 |
| Business Fax Number: | 9133451990 |
| Mailing Address: | 5250 W 94th Ter, Suite 200 PRAIRIE VILLAGE |
| State: | KS |
| Postal Code: | 662072502 |
| Phone Number: | 9133451997 |
| Fax Number: | 9133451990 |
| NPI Enumeration Date: | 09/23/2013 |
| NPI Last Update Date: | 09/23/2013 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 2251P0200X |
| License Number: | 11-04665 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | KS |
| Taxonomy Type: | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| Taxonomy Classification: | Physical Therapist |
| Taxonomy Specialization: | Pediatrics |
| Taxonomy Definition: | |