Louis Landhuis

Individual provider Active NPI Physical Therapy Assistant · Columbia, MO

NPI 1154400901 · NPPES record last updated Jul 8, 2007

Key facts

NPI
1154400901
Entity type
Individual (NPI type 1)
Primary specialty
Physical Therapy Assistant 225200000X
Practice address
402 N Keene St Ste 101
Columbia, MO 65201-6986
Phone
(573) 874-0001
NPI assigned
Nov 3, 2006
Sex
Male
Sole proprietor
No

Medicare participation

Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

Medicare enrollment (NPD)
No

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapy Assistant 225200000X Yes

Addresses

Primary practice location

402 N Keene St Ste 101
Columbia, MO 65201-6986

Mailing address

3515 Danvers Dr
Columbia, MO 65203-5617
Phone (573) 489-4724

Other identifiers

IdentifierTypeStateIssuer
117164OtherMOLICENSE#

Other providers in Columbia, MO

All providers in Columbia, MO · Physical Therapy Assistant in Missouri

Sources for this page

Verify at the official NPI Registry.