Provider Demographics
NPI:1003546151
Name:WOOD, ABRIANA P (PT, DPT)
Entity Type:Individual
Prefix:
First Name:ABRIANA
Middle Name:P
Last Name:WOOD
Suffix:
Gender:F
Credentials:PT, DPT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:9217 REDBUD LN
Mailing Address - Street 2:
Mailing Address - City:LENEXA
Mailing Address - State:KS
Mailing Address - Zip Code:66220-3441
Mailing Address - Country:US
Mailing Address - Phone:913-223-4048
Mailing Address - Fax:
Practice Address - Street 1:3680 NE AKIN DR STE 130
Practice Address - Street 2:
Practice Address - City:LEES SUMMIT
Practice Address - State:MO
Practice Address - Zip Code:64064-7962
Practice Address - Country:US
Practice Address - Phone:816-831-1920
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2022-06-13
Last Update Date:2022-06-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
KS11-06996225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist