Provider Demographics
NPI:1811309073
Name:ALBRIGHT, SHARI (PTA)
Entity type:Individual
Prefix:
First Name:SHARI
Middle Name:
Last Name:ALBRIGHT
Suffix:
Gender:F
Credentials:PTA
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:712 1ST TER
Mailing Address - Street 2:STE 103
Mailing Address - City:LANSING
Mailing Address - State:KS
Mailing Address - Zip Code:66043-1735
Mailing Address - Country:US
Mailing Address - Phone:913-727-2022
Mailing Address - Fax:913-727-2033
Practice Address - Street 1:101 NW ENGLEWOOD RD STE 110
Practice Address - Street 2:
Practice Address - City:GLADSTONE
Practice Address - State:MO
Practice Address - Zip Code:64118-4040
Practice Address - Country:US
Practice Address - Phone:816-413-0900
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2014-05-22
Last Update Date:2023-07-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MO2014026215225200000X
KS14-02702225200000X
225200000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225200000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapy Assistant