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Search › Missouri › 225100000X

Matthew Vandendaele, PT, DPT

NPI 1417626516 · on the registry since 2021

Practice

Address
6403 N Prospect Ave Ste 450
Gladstone, MO 64119
Phone
(816) 656-3698
Fax
(816) 368-9488
Clinicians at this address
2

Additional practice sites

  • 121 N Dean Ave Ste 102, Raymore, MO
  • 1860 N Church Rd, Liberty, MO

Registry record

Primary taxonomy
225100000X
225100000X
Also registered as
225100000X
Licence states on file
KS, MO
From the registry's licence fields, which are often incomplete.
Sex
Male
Record last updated
2026-04-29

Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Missouri