Matasek, Kathryn

Matasek, Kathryn is an individual health care provider with primary practice located at 2401 Gillham Rd , Kansas City MO 64108-4619. She recently has only one registered license in Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Physical Therapist, which is considered as her primary health care specialty. Matasek, Kathryn can be contacted via phone (913) 696-5010.

Contact Information

Primary practice address
2401 Gillham Rd Kansas City MO 64108-4619
Phone: (913) 696-5010
Fax: (913) 696-5013
Website:
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Health care specialties

SpecialtyCodeLicense #State
Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Physical Therapist 225100000X 11-05312 Kansas
Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Physical Therapist 225100000X 2016020979 Missouri
Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Physical Therapist 225100000X 3483 Nebraska

Profile Details

NPI number 1104208545
LBN Legal business name Matasek, Kathryn
Credentials DPT
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 22nd, 2015
Last updated Jan 28th, 2021 - about 5 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1104208545 NPPES
Nebraska MEDICAID 47065477701

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