Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Kimberly Nicole Traylor, PTA

Individual provider Physical Therapy Assistant · NPI 1114408101

Kimberly Nicole Traylor, PTA is a Physical Therapy Assistant in Lees Summit, Missouri. Licensed in Missouri. Registered with an NPI since 2018.

Licensed in
MO
In the registry since
2018
What do these letters mean?
PTA — Physical Therapist Assistant
Delivers treatment under a physical therapist's direction.

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Practice location Address checks out

600 NE Meadowview Dr
Lees Summit, MO 64064
Phone: (816) 554-9866
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Physical Therapy Assistant (primary) Taxonomy 225200000X · Licence 2017027547 (MO)

Record details

NPI number1114408101
Entity typeIndividual (Type 1)
GenderFemale
Credentials PTA
Sole proprietorNo
NPI enumeratedAugust 27, 2018
Last updated in NPPESAugust 28, 2018

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