Provider Demographics
NPI:1578099172
Name:MUZZY, HANNAH RAE (DPT)
Entity Type:Individual
Prefix:MRS
First Name:HANNAH
Middle Name:RAE
Last Name:MUZZY
Suffix:
Gender:F
Credentials:DPT
Other - Prefix:
Other - First Name:HANNAH
Other - Middle Name:RAE
Other - Last Name:OVERFELT
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:DPT
Mailing Address - Street 1:6701 W 121ST ST
Mailing Address - Street 2:SUITE 300
Mailing Address - City:LEAWOOD
Mailing Address - State:KS
Mailing Address - Zip Code:66209
Mailing Address - Country:US
Mailing Address - Phone:913-498-8492
Mailing Address - Fax:423-238-3473
Practice Address - Street 1:6701 W 121ST ST
Practice Address - Street 2:SUITE 300
Practice Address - City:LEAWOOD
Practice Address - State:KS
Practice Address - Zip Code:66209
Practice Address - Country:US
Practice Address - Phone:913-498-8492
Practice Address - Fax:423-238-3473
Is Sole Proprietor?:No
Enumeration Date:2017-05-03
Last Update Date:2023-07-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
KS11-05623225100000X, 2251X0800X
MO2017022189225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2251X0800XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical TherapistOrthopedic
No225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist