| Doctor Name: | DOUGLAS D LENNERS |
| NPI Number: | 1235160193 |
| Entity Type Code: | Individual (1) |
| Gender: | M |
| Credentials: | PT/ATC |
| License Number: | 112536 |
| Business Practice Address: | 801 Riverside Suite 250 St. Joseph, MO - 64505 |
| Business Phone Number: | 8162716636 |
| Business Fax Number: | 8162716645 |
| Mailing Address: | 22754 County Road 228, UNION STAR |
| State: | MO |
| Postal Code: | 644948179 |
| Phone Number: | 6605354589 |
| Fax Number: | 8162716645 |
| NPI Enumeration Date: | 07/06/2006 |
| NPI Last Update Date: | 07/08/2007 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 2251S0007X |
| License Number: | 112536 |
| Healthcare Provider Taxonomy: (Secondary) | X |
| State: | MO |
| Taxonomy Type: | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| Taxonomy Classification: | Physical Therapist |
| Taxonomy Specialization: | Sports |
| Taxonomy Definition: | |