Laurie Anne Rose, MSED PT

Individual provider Active NPI Physical Therapist · Centerview, MO

NPI 1306880299 · NPPES record last updated Jul 13, 2026

Key facts

NPI
1306880299
Entity type
Individual (NPI type 1)
Primary specialty
Physical Therapist 225100000X
License
R1367 (MO)
Practice address
902 NW 750TH Rd
Centerview, MO 64019-9128
Phone
(816) 517-6648
Fax
(816) 230-1590
NPI assigned
Jun 15, 2006
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

State licenses

LicenseStateTypeSpecialty
R1367MOMDPhysical Therapist

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapist 225100000X R1367 MO Yes

Addresses

Primary practice location

902 NW 750TH Rd
Centerview, MO 64019-9128

Mailing address

902 NW 750TH Rd
Centerview, MO 64019-9128
Phone (816) 517-6648

Other providers in Centerview, MO

All providers in Centerview, MO · Physical Therapist in Missouri

Sources for this page

Verify at the official NPI Registry.