Provider Demographics
NPI:1134807852
Name:VANDERPLUYM, ANGELA NICOLE (PT, DPT)
Entity type:Individual
Prefix:
First Name:ANGELA
Middle Name:NICOLE
Last Name:VANDERPLUYM
Suffix:
Gender:F
Credentials:PT, DPT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:12728 STATE LINE RD
Mailing Address - Street 2:
Mailing Address - City:LEAWOOD
Mailing Address - State:KS
Mailing Address - Zip Code:66209-1619
Mailing Address - Country:US
Mailing Address - Phone:191-388-8001
Mailing Address - Fax:816-941-2520
Practice Address - Street 1:12728 STATE LINE RD
Practice Address - Street 2:
Practice Address - City:LEAWOOD
Practice Address - State:KS
Practice Address - Zip Code:66209-1619
Practice Address - Country:US
Practice Address - Phone:191-388-8001
Practice Address - Fax:816-941-2520
Is Sole Proprietor?:No
Enumeration Date:2023-07-11
Last Update Date:2023-07-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist