MRS. Lori Leanne Soper, PTA

NPI #1578795001 in Ash Grove, Missouri

Provider Information

NPI Number: 1578795001
Entity Type: Individual
Name: MRS. Lori Leanne Soper, PTA
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Physical Therapy Assistant
Credential: PTA
Enumeration Date: Aug 18, 2009
Last Updated: Aug 18, 2009

Practice Location

Address: 500 N MEDICAL DR
City: Ash Grove
State: Missouri
ZIP Code: 65604-1005
Phone: (417) 751-2575

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Physical Therapy Assistant	225200000X	Primary

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