Katrina Anna Talactac Alcoy, PT
Individual provider Active NPI Physical Therapist · Joplin, MO
NPI 1285804641 · NPPES record last updated Mar 1, 2008
Key facts
- NPI
- 1285804641
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Physical Therapist 225100000X
- License
- 2007033176 (MO)
- Practice address
- 214 W 5TH St
Ste. D & E
Joplin, MO 64801-2501 - Phone
- (417) 396-8116
- NPI assigned
- Mar 1, 2008
- Sex
- Female
- Sole proprietor
- Yes
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- Yes
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 2007033176 | MO | MD | Physical Therapist |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapist | 225100000X | 2007033176 | MO | Yes |
Addresses
Primary practice location
214 W 5TH St
Ste. D & E
Joplin, MO 64801-2501
Mailing address
214 W 5TH St
Ste. D & E
Joplin, MO 64801-2501
Phone (417) 396-8116
Other providers in Joplin, MO
- Muthanna Al Hasan
- Asad Yasin Al-Rawashdeh
- Alan Melot LLC
- Kevin Alban
- Jennifer J. Alberty
- Cayden A Alexander
- Kathrina Andrea Elaine Alexander
- Marsha Alford
- Ali Internal Medicine Associates, PC
- Iftikhar Ali
All providers in Joplin, 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 Mar 1, 2008. 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.