Advance Physical Therapy & Sports Medicine of Lebanon, LLC

NPI #1356669220 in Lebanon, Missouri

Provider Information

NPI Number: 1356669220
Entity Type: Organization
Organization Name: Advance Physical Therapy & Sports Medicine of Lebanon, LLC
Primary Specialty: Physical Therapist
Enumeration Date: May 17, 2010
Last Updated: May 17, 2010

Practice Location

Address: 144 EVERGREEN PARKWAY
City: Lebanon
State: Missouri
ZIP Code: 65536-0000
Phone: (217) 222-6800

Authorized Official

Name: GREGORY REIS, PT
Title: PARTNER
Phone: (217) 222-6800

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Physical Therapist	225100000X	Primary

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