IndividualActive
Shira Brock, DPT
NPI 1508441445 · Geriatric Physical Therapist · Blue Springs, MO
Provider details
- NPI number
- 1508441445
- Entity type
- Individual
- Primary specialty
- Geriatric Physical TherapistRespiratory, Developmental, Rehabilitative and Restorative Service Providers
- Credential
- DPT
- Sex
- Female
- Sole proprietor
- No
- License
- 2018025531 (MO)
Specialties & taxonomies
Respiratory, Developmental, Rehabilitative and Restorative Service Providers
Practice location
20511 E Trinity Pl
Blue Springs, MO 64015-9501
Phone: (816) 622-2900
Approximate (ZIP-level) locationGet directions
Mailing address
1482 Nw 64th Ter
Kansas City, MO 64118-2987
Registry dates
- Enumerated
- 2021-03-12
- Last updated
- 2021-03-12
- Certified
- 2021-03-12
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.