Provider Demographics
NPI:1821536517
Name:ECK, MARSHA L (DPT)
Entity Type:Individual
Prefix:
First Name:MARSHA
Middle Name:L
Last Name:ECK
Suffix:
Gender:F
Credentials:DPT
Other - Prefix:
Other - First Name:MARSHA
Other - Middle Name:
Other - Last Name:NEWMAN
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:DPT
Mailing Address - Street 1:10777 NALL AVE
Mailing Address - Street 2:SUITE 320
Mailing Address - City:OVERLAND PARK
Mailing Address - State:KS
Mailing Address - Zip Code:66211-1362
Mailing Address - Country:US
Mailing Address - Phone:913-279-0243
Mailing Address - Fax:913-279-0564
Practice Address - Street 1:10777 NALL AVE
Practice Address - Street 2:SUITE 320
Practice Address - City:OVERLAND PARK
Practice Address - State:KS
Practice Address - Zip Code:66211-1362
Practice Address - Country:US
Practice Address - Phone:913-279-0243
Practice Address - Fax:913-279-0564
Is Sole Proprietor?:No
Enumeration Date:2017-02-02
Last Update Date:2017-02-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
KS11-05381225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist
Provider Identifiers
StateIdentifier IDID TypeIssuer
KS11-05381OtherPT LICENSE