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Contact Information

JESSICA N BLEDSOE, PTA
3302 N WOODBINE RD
SAINT JOSEPH, MO64505-9323
 Phone: 816-820-8968
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Sports Medicine

2081S0010X 25 Physician/Physical Medicine and Rehabilitation
Indicates primary specialty

NPI Profile & details for JESSICA N BLEDSOE · (Female)

NPI Number 1184258188
Status Active
Credentials PTA (Physical Therapist Assistant)
Entity Individual
Enumeration date 02/27/2020
Last updated 02/27/2020 - About 6 years ago
Sole proprietor 1 Yes
Identifiers
  • MO License # 2012003666
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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