Provider Demographics
NPI:1245542307
Name:KRAMER, MARCY ANN (PT)
Entity type:Individual
Prefix:
First Name:MARCY
Middle Name:ANN
Last Name:KRAMER
Suffix:
Gender:F
Credentials:PT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:27751 SADDLE RIDGE DR
Mailing Address - Street 2:
Mailing Address - City:LOUISBURG
Mailing Address - State:KS
Mailing Address - Zip Code:66053-3637
Mailing Address - Country:US
Mailing Address - Phone:816-482-7383
Mailing Address - Fax:
Practice Address - Street 1:27751 SADDLE RIDGE DR
Practice Address - Street 2:
Practice Address - City:LOUISBURG
Practice Address - State:KS
Practice Address - Zip Code:66053-3637
Practice Address - Country:US
Practice Address - Phone:816-482-7383
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2010-07-06
Last Update Date:2013-12-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MO110474225100000X
KS11-04360225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist