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Contact Information

TISHA E SCAMMACCA
2100 SWIFT AVE
NORTH KANSAS CITY, MO64116
 Phone: 816-474-8877
 Fax: 816-474-8878
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Physical Therapy Assistant

225200000X
Indicates primary specialty

NPI Profile & details for TISHA E SCAMMACCA · (Female)

NPI Number 1538146220
Status Active
Credentials
Entity Individual
Enumeration date 12/23/2005
Last updated 07/08/2007 - About 19 years ago
Sole proprietor 1 Not specified
Identifiers
  • MO License # 2003001814
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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