Provider Demographics
NPI:1053469189
Name:DEBBRECHT, DANIELLE KATHRYN (MS, PT)
Entity Type:Individual
Prefix:MS
First Name:DANIELLE
Middle Name:KATHRYN
Last Name:DEBBRECHT
Suffix:
Gender:F
Credentials:MS, PT
Other - Prefix:
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Mailing Address - Street 1:5132 NALL AVE
Mailing Address - Street 2:
Mailing Address - City:MISSION
Mailing Address - State:KS
Mailing Address - Zip Code:66202-1835
Mailing Address - Country:US
Mailing Address - Phone:913-722-6561
Mailing Address - Fax:913-722-6561
Practice Address - Street 1:10400 W 103RD ST
Practice Address - Street 2:SUITE 22
Practice Address - City:OVERLAND PARK
Practice Address - State:KS
Practice Address - Zip Code:66214-2640
Practice Address - Country:US
Practice Address - Phone:913-322-4000
Practice Address - Fax:913-322-4001
Is Sole Proprietor?:No
Enumeration Date:2007-01-08
Last Update Date:2008-03-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
KS1102783225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist
Provider Identifiers
StateIdentifier IDID TypeIssuer
KS20588299966214A002OtherTRIWEST
KS37653011OtherKANSAS CITY BLUE CROSS
706184OtherACN
9476307OtherMULTIPLAN
9476307OtherPHCS NETWORK
9476307OtherMULTIPLAN