| NPI | 1134361868 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | TRACY DAVIED P.T./Owner 573-471-0110 |
| Organization Subpart ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: MO 111613) |
| Additional Taxonomies | 225200000X Physical Therapy Assistant (Licence: MO 119750) |
| 225X00000X Occupational Therapist (Licence: MO 004781) | |
| 225100000X Physical Therapist (Licence: MO 2012023604) | |
| 225100000X Physical Therapist (Licence: MO 2008022311) | |
| 225100000X Physical Therapist (Licence: MO 000224) | |
| Enumeration Date | 2009-03-26 |
| Last Update Date | 2013-05-09 |