Mid Missouri Physical Therapy

NPI #1891908612 in Macon, Missouri

Provider Information

NPI Number: 1891908612
Entity Type: Organization
Organization Name: Mid Missouri Physical Therapy
Primary Specialty: Physical Therapist
Enumeration Date: May 8, 2007
Last Updated: Jul 17, 2009

Practice Location

Address: 2005 N. MISSOURI ST.
Address 2: SUITE D
City: Macon
State: Missouri
ZIP Code: 63552-0381
Phone: (660) 385-6540

Authorized Official

Name: PAUL VINCENT LANE, P.T.
Title: CEO
Phone: (660) 385-6540

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Physical Therapist	225100000X	Primary

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