LEASA A MOORE SIMERLY

CAMERON, MO
NPI1194097543
Entity TypeIndividual
GenderFemale
Sole Proprietor ?Yes
Primary Taxonomy225200000X Physical Therapy Assistant
(Licence: MO  2000175354)
Enumeration Date2012-02-01
Last Update Date2012-02-01
Business Address
Mrs. LEASA A MOORE SIMERLY PTA
1111 EUCLID AVE
CAMERON, MO 64429-2005
Phone number: 816-593-2176
Mailing Address
Mrs. LEASA A MOORE SIMERLY PTA
22307 COUTY ROAD 243
UNION STAR, MO 64494
Phone number: 816-593-2176