| Doctor Name: | MARK E MCINTOSH |
| NPI Number: | 1538310529 |
| Entity Type Code: | Individual (1) |
| Gender: | M |
| Credentials: | M.S.P.T. |
| License Number: | 2009023899 |
| Business Practice Address: | 820 W Foxwood Dr Raymore, MO - 640839195 |
| Business Phone Number: | 8163188109 |
| Business Fax Number: | 8163188121 |
| Mailing Address: | 13561 Hauser St, Apt 204 OVERLAND PARK |
| State: | KS |
| Postal Code: | 662212828 |
| Phone Number: | 9132843404 |
| Fax Number: | |
| NPI Enumeration Date: | 10/08/2008 |
| NPI Last Update Date: | 05/22/2012 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 2251X0800X |
| License Number: | 2009023899 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | MO |
| Taxonomy Type: | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| Taxonomy Classification: | Physical Therapist |
| Taxonomy Specialization: | Orthopedic |
| Taxonomy Definition: | |