Nancy J Lock
Individual provider Active NPI Physical Therapist · Brunswick, MO
NPI 1619200565 · NPPES record last updated Sep 10, 2009
Key facts
- NPI
- 1619200565
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Physical Therapist 225100000X
- License
- 00993 (MO)
- Practice address
- 1008 County Rd
Brunswick, MO 65236-1445 - Phone
- (660) 548-3550
- Fax
- (660) 548-3029
- NPI assigned
- Sep 10, 2009
- Sex
- Female
- 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 |
|---|---|---|---|
| 00993 | MO | MD | Physical Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Brunswick R-II Schools | Physical Therapist | Past | Accepting new patients |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapist | 225100000X | 00993 | MO | Yes |
Addresses
Primary practice location
1008 County Rd
Brunswick, MO 65236-1445
Mailing address
1008 County Rd
Brunswick, MO 65236-1445
Phone (660) 548-3550
Other providers in Brunswick, MO
- John Fitzgibbon Memorial Hospital, Inc.
- Jukeco Enterprises LLC
- Margaret J Larson
- Lightning Creek Investment Group,Inc
- Trent Link
- Paige McHugh
- Lindsay Dyan Meyer
- Sandra L. Moser
- Brooke Nicole Schreckhise
- Krystal Schuchmann
All providers in Brunswick, 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 Sep 10, 2009. 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.