| NPI | 1659686038 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | STACI BLANKENSHIP Partner/Owner 573-686-5439 |
| Organization Subpart ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: MO 108147) |
| Additional Taxonomies | 224Z00000X Occupational Therapy Assistant (Licence: MO 005426) |
| 225200000X Physical Therapy Assistant (Licence: MO 2007030326) | |
| 225X00000X Occupational Therapist (Licence: MO 2002000623) | |
| 225X00000X Occupational Therapist (Licence: MO 2004032542) | |
| 235Z00000X Speech-Language Pathologist, (Licence: MO 104632) | |
| Enumeration Date | 2010-08-10 |
| Last Update Date | 2010-08-10 |