Provider Demographics
NPI:1578099172
Name:MUZZY, HANNAH RAE (DPT)
Entity type:Individual
Prefix:MRS
First Name:HANNAH
Middle Name:RAE
Last Name:MUZZY
Suffix:
Gender:F
Credentials:DPT
Other - Prefix:
Other - First Name:HANNAH
Other - Middle Name:RAE
Other - Last Name:OVERFELT
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:DPT
Mailing Address - Street 1:600 E 108TH TER
Mailing Address - Street 2:
Mailing Address - City:KANSAS CITY
Mailing Address - State:MO
Mailing Address - Zip Code:64131-4022
Mailing Address - Country:US
Mailing Address - Phone:573-673-0527
Mailing Address - Fax:
Practice Address - Street 1:600 E 108TH TER
Practice Address - Street 2:
Practice Address - City:KANSAS CITY
Practice Address - State:MO
Practice Address - Zip Code:64131-4022
Practice Address - Country:US
Practice Address - Phone:573-673-0527
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2017-05-03
Last Update Date:2024-09-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
KS11-05623225100000X, 2251X0800X
MO2017022189225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2251X0800XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical TherapistOrthopedic
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist