Fountain Of Youth Activity Center, Llc
Specialty details in registry · Raytown, MO
At a glance
8801 E 63Rd St Ste 101, Raytown, MO 64133-4865
NPPES record updated Jun 11, 2021. Public records can lag behind changes at a practice.
Before you call: a quick checklist
- Are you accepting new patients?
- Do you accept my specific insurance plan?
- Do you provide the service I need at this address?
- Do I need a referral, and what is the earliest appointment?
Insurance participation and appointment availability are not established by these public records.
Practice location
8801 E 63Rd St Ste 101Raytown, MO 64133-4865
Professional details: NPI, taxonomy & registry record
Registry details
- Primary taxonomy
- Specialty details in registry
- Taxonomy code
- 251T00000X
- Enumeration date
- Jun 11, 2021
- Record updated
- Jun 11, 2021
More registry details
- Provider type
- Organization · Type 2
Reported taxonomies and licenses
Specialty details in registry
251T00000X · Primary
Specialty details in registry
343900000X
License numbers and credentials are reported to NPPES; HCPList does not independently verify them.
Practice location
8801 E 63Rd St Ste 101Raytown, MO 64133-4865
- Phone
- (816) 886-0442
- Fax
- (816) 503-9408
Mailing address
8801 E 63RD ST STE 101RAYTOWN, MO 641334865
Information may be outdated or incomplete. Confirm details directly with the practice. HCPList is an independent directory and is not affiliated with CMS.
Report a directory issue