Mr. Waco C Porter
Mr. Waco C Porter is a Physical Therapy Assistant in Olathe, Kansas. Licensed in Kansas. Registered with an NPI since 2023.
- Licensed in
- KS
- In the registry since
- 2023
Practice location Address checks out
11032 S Green RdOlathe, KS 66061-5657
Phone: (816) 547-9654
Fax: (816) 832-2874
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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 14-03569 (KS) |
|---|
Record details
| NPI number | 1497453955 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Male |
| Sole proprietor | No |
| NPI enumerated | February 22, 2023 |
| Last updated in NPPES | February 22, 2023 |
| Certification date | February 22, 2023 |
| Mailing address | 6713 Vermont Ave, Raytown, MO 64133-6140 |
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