Cory Raisor

NPI #1003481235 in Macon, Missouri

Provider Information

NPI Number: 1003481235
Entity Type: Individual
Name: Cory Raisor
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Physical Therapy Assistant
Enumeration Date: May 20, 2021
Last Updated: May 20, 2021

Practice Location

Address: 701 SUNSET HILLS DR
City: Macon
State: Missouri
ZIP Code: 63552-2165
Phone: (660) 385-3113

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Physical Therapy Assistant	225200000X	Primary

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