Provider Demographics
NPI:1316723596
Name:KROPUENSKE, PAIGE BECKETT (PT, DPT)
Entity type:Individual
Prefix:
First Name:PAIGE
Middle Name:BECKETT
Last Name:KROPUENSKE
Suffix:
Gender:F
Credentials:PT, DPT
Other - Prefix:
Other - First Name:PAIGE
Other - Middle Name:BECKETT
Other - Last Name:WEAKLEY
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:829 SW LEMANS LN
Mailing Address - Street 2:
Mailing Address - City:LEES SUMMIT
Mailing Address - State:MO
Mailing Address - Zip Code:64082-4618
Mailing Address - Country:US
Mailing Address - Phone:816-352-9461
Mailing Address - Fax:
Practice Address - Street 1:829 SW LEMANS LN
Practice Address - Street 2:
Practice Address - City:LEES SUMMIT
Practice Address - State:MO
Practice Address - Zip Code:64082-4618
Practice Address - Country:US
Practice Address - Phone:816-352-9461
Practice Address - Fax:816-817-0501
Is Sole Proprietor?:No
Enumeration Date:2023-09-05
Last Update Date:2023-09-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MO20230345272251P0200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2251P0200XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical TherapistPediatrics