Provider Demographics
NPI:1730592825
Name:ROEPE, AUSTIN M (DPT)
Entity type:Individual
Prefix:MR
First Name:AUSTIN
Middle Name:M
Last Name:ROEPE
Suffix:
Gender:M
Credentials:DPT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3215 MAIN ST STE 202
Mailing Address - Street 2:
Mailing Address - City:KANSAS CITY
Mailing Address - State:MO
Mailing Address - Zip Code:64111-1946
Mailing Address - Country:US
Mailing Address - Phone:816-472-1800
Mailing Address - Fax:816-472-1880
Practice Address - Street 1:3215 MAIN ST STE 202
Practice Address - Street 2:
Practice Address - City:KANSAS CITY
Practice Address - State:MO
Practice Address - Zip Code:64111-1946
Practice Address - Country:US
Practice Address - Phone:816-472-1800
Practice Address - Fax:816-472-1880
Is Sole Proprietor?:No
Enumeration Date:2014-06-05
Last Update Date:2014-06-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
KS1104834225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist