Julie L Dorrell, PTA

Individual provider Active NPI Physical Therapy Assistant · Chillicothe, MO

NPI 1326294992 · NPPES record last updated Aug 14, 2008

Key facts

NPI
1326294992
Entity type
Individual (NPI type 1)
Primary specialty
Physical Therapy Assistant 225200000X
License
2005013267 (MO)
Practice address
2601 Fair St
Chillicothe, MO 64601-3525
Phone
(615) 896-6400
NPI assigned
Aug 14, 2008
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)
No

State licenses

LicenseStateTypeSpecialty
2005013267MOMDPhysical Therapy Assistant

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapy Assistant 225200000X 2005013267 MO Yes

Addresses

Primary practice location

2601 Fair St
Chillicothe, MO 64601-3525

Mailing address

24237 Husk Rd
Brookfield, MO 64628-2364
Phone (615) 896-6400

Other providers in Chillicothe, MO

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

Sources for this page

Verify at the official NPI Registry.