Elaine McDannold
Individual provider Active NPI Physical Therapist · Bowling Green, MO
NPI 1144370602 · NPPES record last updated Jul 8, 2007
Key facts
- NPI
- 1144370602
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Physical Therapist 225100000X
- License
- 112585 (MO)
- Practice address
- 710 S Business 61
Bowling Green, MO 63334-5239 - Phone
- (573) 324-6079
- NPI assigned
- Jan 10, 2007
- Sex
- Female
- Sole proprietor
- No
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- Yes
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapist | 225100000X | 112585 | MO | Yes |
Addresses
Primary practice location
710 S Business 61
Bowling Green, MO 63334-5239
Mailing address
9547 Highway Y
Bowling Green, MO 63334-5000
Other providers in Bowling Green, MO
- Tyler Loewenstein
- Eryka Mabus
- Beth Marshall
- Debra Kay Marti
- Robert William Martin
- Emily N Meyers
- Heather Miller
- Kelly Marie Miller
- Missouri Mobile Radiology, LLC
- Brock Mitchell
All providers in Bowling Green, 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.