Tyson, Carrie Jo

Tyson, Carrie Jo is an sole proprietor health care provider with primary practice located at 111 Nw Mock Ave , Blue Springs MO 64014-2503. She recently has only one registered license in Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Physical Rehabilitation, which is considered as her primary health care specialty. Tyson, Carrie Jo can be contacted via phone (816) 220-4247.

Contact Information

Primary practice address
111 Nw Mock Ave Blue Springs MO 64014-2503
Phone: (816) 220-4247
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Physical Rehabilitation 225XP0019X 2010025842 Missouri

Profile Details

NPI number 1174192140
LBN Legal business name Tyson, Carrie Jo
Credentials Registered Occupational Therapist (OTR)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Jun 23rd, 2021
Last updated Jun 23rd, 2021 - about 3 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 1174192140 NPPES
Missouri Other 2010025842 OUTPATIENT

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