Provider Demographics
NPI:1417200569
Name:BROWNFIELD, JANELLE L (RPT)
Entity Type:Individual
Prefix:MRS
First Name:JANELLE
Middle Name:L
Last Name:BROWNFIELD
Suffix:
Gender:F
Credentials:RPT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2816 SE BINGHAM PL
Mailing Address - Street 2:
Mailing Address - City:LEES SUMMIT
Mailing Address - State:MO
Mailing Address - Zip Code:64063-2481
Mailing Address - Country:US
Mailing Address - Phone:816-525-3105
Mailing Address - Fax:
Practice Address - Street 1:904 E 68TH ST
Practice Address - Street 2:
Practice Address - City:KANSAS CITY
Practice Address - State:MO
Practice Address - Zip Code:64131-1305
Practice Address - Country:US
Practice Address - Phone:816-333-5485
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2012-10-25
Last Update Date:2012-10-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MO105571225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist