Provider Demographics
NPI:1639434467
Name:KAUR, HARPREET (PT, DPT, GCS)
Entity Type:Individual
Prefix:
First Name:HARPREET
Middle Name:
Last Name:KAUR
Suffix:
Gender:F
Credentials:PT, DPT, GCS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1415 W 50TH TER
Mailing Address - Street 2:
Mailing Address - City:KANSAS CITY
Mailing Address - State:MO
Mailing Address - Zip Code:64112-1165
Mailing Address - Country:US
Mailing Address - Phone:757-318-0405
Mailing Address - Fax:
Practice Address - Street 1:2 EMANUEL CLEAVER II BLVD
Practice Address - Street 2:
Practice Address - City:KANSAS CITY
Practice Address - State:MO
Practice Address - Zip Code:64112-1654
Practice Address - Country:US
Practice Address - Phone:757-318-0405
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2012-07-09
Last Update Date:2021-12-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
KS11-05553225100000X
MO2017007825225100000X, 225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist
Provider Identifiers
StateIdentifier IDID TypeIssuer
KS11-05553OtherKANSAS STATE BOARD OF HEALING ARTS
VA2305206076OtherVIRGINIA BOARD OF PHYSICAL THERAPY
MO2017007825OtherMISSOURI STATE BOARD OF HEALING ARTS