| NPI | 1639143357 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ROBERT WAYNE SHERRILL Owner 573-339-5989 |
| Organization Subpart ? | No |
| Primary Taxonomy | 225100000X Physical Therapist |
| Additional Taxonomies | 2251H1200X Physical Therapist, Hand |
| 2255A2300X Specialist/Technologist, Athletic Trainer | |
| 225X00000X Occupational Therapist | |
| 235Z00000X Speech-Language Pathologist, | |
| Enumeration Date | 2006-02-17 |
| Last Update Date | 2022-12-09 |