Tertia King, PT.MS
Individual provider Active NPI Physical Therapist · Ironton, MO
NPI 1003872136 · NPPES record last updated Jul 8, 2007
Key facts
- NPI
- 1003872136
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Physical Therapist 225100000X
- License
- 102374 (MO)
- Practice address
- HC 69 Box 2635
Ironton, MO 63650-9610 - Phone
- (573) 546-3083
- Fax
- (573) 546-3083
- NPI assigned
- Apr 26, 2006
- Sex
- Female
- Sole proprietor
- No
Organizations & group practices 1
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 102374 | MO | MD | Physical Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Rehabilitation Professionals Inc | Physical Therapist | Past | Accepting new patients |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapist | 225100000X | 102374 | MO | Yes |
Addresses
Primary practice location
HC 69 Box 2635
Ironton, MO 63650-9610
Mailing address
HC 69 Box 2635
Ironton, MO 63650-9610
Phone (573) 546-3083
Other providers in Ironton, MO
- Iron County Drug Company
- Iron County Health Department
- Ironton Care Center LLC
- Ironton Residential Care, LLC
- Bradley Charles Jackson
- Jerri Klein
- Portia Leann Kniffin
- Heather L Lara Rizo
- Lone Pine Residential Care, LLC
- Charity Renee Mackley
All providers in Ironton, MO · Physical Therapist in Missouri
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jul 8, 2007. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.