Basic Information
Provider Information
NPI: 1093847675
EntityType: 1
ReplacementNPI:  
OrganizationName:  
LastName: DEMPSEY
FirstName: MARY
MiddleName: JANE
NamePrefix: MS.
NameSuffix:  
Credential: R.P.T.
OtherOrganizationName:  
OtherOrganizationType:  
OtherLastName:  
OtherFirstName:  
OtherMiddleName:  
OtherNamePrefix:  
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OtherCredential:  
OtherLastNameType:  
Mailing Information
Address1: 5707 W 98TH PL
Address2:  
City: OVERLAND PARK
State: KS
PostalCode: 662072963
CountryCode: US
TelephoneNumber: 9133416747
FaxNumber: 9133416747
Practice Location
Address1: 5211 W 103RD ST
Address2: REHAB DEPT.
City: OVERLAND PARK
State: KS
PostalCode: 662073154
CountryCode: US
TelephoneNumber: 9133832569
FaxNumber:  
Other Information
ProviderEnumerationDate: 03/09/2007
LastUpdateDate: 09/28/2010
NPIDeactivationReasonCode:  
NPIDeactivationDate:  
NPIReactivationDate:  
ProviderGenderCode: F
AuthorizedOfficialLastName:  
AuthorizedOfficialFirstName:  
AuthorizedOfficialMiddleName:  
AuthorizedOfficialTitleorPosition:  
AuthorizedOfficialTelephone:  
IsSoleProprietor: N
IsOrganizationSubpart:  
ParentOrganizationLBN:  
AuthorizedOfficialNamePrefix:  
AuthorizedOfficialNameSuffix:  
AuthorizedOfficialCredential:  
NPICertificationDate:  

Taxonomy Information
TaxonomyLicenseStateSwitchTaxonomyGroupTaxonomyTypeTaxonomyClassSubSpecialty
225100000X11-00823KSY Respiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist 

No ID Information.


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