NPI | 1558436592 |
---|---|
Doing Business As | PEAK SPORT AND SPINE |
Entity Type | Organization |
Authorized Contact | PHILLIP SMITH PT 573-443-0225 |
Organization Subpart ? | No |
Primary Taxonomy | 225100000X Physical Therapist (Licence: MO 2001024950) |
Enumeration Date | 2006-11-22 |
Last Update Date | 2015-05-21 |