Lynn Ellen Spare, PTA

NPI #1205671351 in Oak Grove, Missouri

Provider Information

NPI Number: 1205671351
Entity Type: Individual
Name: Lynn Ellen Spare, PTA
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Physical Therapy Assistant
Credential: PTA
Enumeration Date: Jun 29, 2024
Last Updated: Jun 29, 2024

Practice Location

Address: 10422 S OUTER BELT RD
City: Oak Grove
State: Missouri
ZIP Code: 64075-9085
Phone: (816) 255-9729

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Physical Therapy Assistant	225200000X	Primary

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