| NPI | 1326163478 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | BRENDA J REEDER Director Of Billing 573-449-6082 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 225100000X Physical Therapist |
| Additional Taxonomies | 225X00000X Occupational Therapist |
| 2255A2300X Specialist/Technologist Athletic Trainer | |
| Enumeration Date | 2007-03-20 |
| Last Update Date | 2011-06-09 |