Front Door Wellness LLC

NPI #1285271239 in Poplar Bluff, Missouri

Provider Information

NPI Number: 1285271239
Entity Type: Organization
Organization Name: Front Door Wellness LLC
Primary Specialty: Physical Therapist
Enumeration Date: Dec 9, 2019
Last Updated: Dec 9, 2019

Practice Location

Address: FRONT DOOR WELLNESS LLC
Address 2: 5835 QUAIL MEADOWS DRIVE
City: Poplar Bluff
State: Missouri
ZIP Code: 63901
Phone: (573) 429-0784

Authorized Official

Name: AMY MANCHESTER, PT
Title: SOLE MEMBER
Phone: (573) 429-0784

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Physical Therapist	225100000X	Primary

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