Dakota Lager Pearce, DPT
Individual provider Active NPI Physical Therapist · Willard, MO
NPI 1336997485 · NPPES record last updated May 17, 2024
Key facts
- NPI
- 1336997485
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Physical Therapist 225100000X
- License
- 2024017551 (MO)
- Practice address
- 304 E Jackson St Ste 2F
Willard, MO 65781-9472 - Phone
- (417) 221-4667
- NPI assigned
- May 13, 2024
- Sex
- Male
- Sole proprietor
- No
Organizations & group practices 1
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 2024017551 | MO | MD | Physical Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Willard Physical Therapy Center LLC | Physical Therapist | Current |
Accepting new patients |
Locations
304 E Jackson St
Ste 2F
Willard, MO 65781
Phone (417) 221-4667
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapist | 225100000X | 2024017551 | MO | Yes |
Addresses
Primary practice location
304 E Jackson St Ste 2F
Willard, MO 65781-9472
Mailing address
304 E Jackson St Ste 2F
Willard, MO 65781-9472
Other providers in Willard, MO
- Rachel Milburn
- Rebecca Jean Mooney
- N & R of Willard LLC
- Katelyn Nash
- Justin Tom Nguyen
- Soleya Abigail Pippin
- Nicole Pounds
- Stephen Goodwin Powell
- Regional Services
- Alice R. Riedel
All providers in Willard, 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 May 17, 2024. 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.