| NPI | 1730675885 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | TRACY LYNN DOUTHARD Physical Therapist 417-230-1662 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QP2000X Clinic/Center, Physical Therapy (Licence: MO 2015002291) |
| Enumeration Date | 2018-07-02 |
| Last Update Date | 2018-07-02 |