| Doctor Name: | NOLAN RAY DYER |
| NPI Number: | 1629389028 |
| Entity Type Code: | Individual (1) |
| Gender: | M |
| Credentials: | |
| License Number: | 11-02684 |
| Business Practice Address: | 6124 Raytown Rd Raytown, MO - 641334007 |
| Business Phone Number: | 8163532559 |
| Business Fax Number: | 8167430012 |
| Mailing Address: | 4453 S Davidson Dr, INDEPENDENCE |
| State: | MO |
| Postal Code: | 640556785 |
| Phone Number: | 8163736603 |
| Fax Number: | |
| NPI Enumeration Date: | 06/30/2010 |
| NPI Last Update Date: | 06/30/2010 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 225100000X |
| License Number: | 11-02684 |
| Healthcare Provider Taxonomy: (Secondary) | N |
| State: | KS |
| 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 |