Parker, Carissa Michelle

Parker, Carissa Michelle is an individual health care provider with primary practice located at 1254 Se Century Dr , Lees Summit MO 64081-3286. She recently has 2 registered licenses in different health care specialties including Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Physical Therapist, Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Orthopedic. Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Physical Therapist is her primary health care specialty. Parker, Carissa Michelle can be contacted via phone (480) 452-5302.

Contact Information

Primary practice address
1254 Se Century Dr Lees Summit MO 64081-3286
Phone: (480) 452-5302
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Physical Therapist 225100000X Missouri
Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Orthopedic 2251X0800X Missouri
Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Physical Therapist 225100000X 2013023363 Missouri

Profile Details

NPI number 1194166116
LBN Legal business name Parker, Carissa Michelle
Credentials DPT
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 8th, 2013
Last updated Jan 23rd, 2019 - about 6 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1194166116 NPPES
Missouri Other 1194166116 PHYSICAL THERAPIST
Missouri MEDICAID 1194166116 PHYSICAL THERAPIST

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