Organization · Type 2 NPI

Spine & Extremity Rehabilitation Center of Raytown, Inc.

Customized Equipment (DME) · Raytown, MO

NPI number 1063628352 Active

Practice location

10801 E State Route 350
Raytown, MO 64138-2367

Fax (816) 737-5504

Specialties and licenses

Taxonomy	Code	License
Customized Equipment (DME) Primary	332BC3200X	None listed

Customized Equipment (DME): Definition to come...

7 other providers at this address

NPI record

NPI: 1063628352
Entity type: Organization (Type 2)
Issued: May 15, 2007
Last updated: Aug 22, 2020
Status: Active

Other names

<unavail>
Serc of Raytown, Serc of South Raytown, Serc of Belton · doing business as

Authorized official

Diana E Naumann, PT
Owner-Manager-Physical Therapist
(816) 737-5500

Verify this record

This page mirrors the public NPPES file. For credentialing or billing, confirm it on the official CMS NPI Registry, and check the license with the state board.

Is this your record? How to update it.

About NPI 1063628352

Spine & Extremity Rehabilitation Center of Raytown, Inc.'s National Provider Identifier is 1063628352, issued on May 15, 2007. The primary taxonomy on file is Customized Equipment (DME) (332BC3200X), and the practice location is in Raytown, MO. The record was last updated on Aug 22, 2020.