| Organization Name: | SPINE AND EXTREMITY REHABILITATION CENTER OF RAYTOWN INC |
| NPI Number: | 1568410165 |
| Entity Type Code: | Organizational (2) |
| Authorized Official Name: | DIANA E NAUMANN (CLINIC DIRECTOR) |
| Mailing Address: | 10801 E 350 Hwy Raytown |
| State: | MO US |
| Postal Code: | 641382367 |
| Phone Number: | 8167375500 |
| Fax Number: | 8167375504 |
| NPI Enumeration Date: | 05/05/2006 |
| NPI Last Update Date: | 11/01/2012 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 225100000X |
| License Number: | 2011015393 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| 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 |