Alicia Vestal, PTA
Individual provider Active NPI Physical Therapy Assistant · Unionville, MO
NPI 1629437926 · NPPES record last updated Feb 15, 2016
Key facts
- NPI
- 1629437926
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Physical Therapy Assistant 225200000X
- License
- 2008025215 (MO)
- Practice address
- 1926 Oak St
Unionville, MO 63565-1180 - Phone
- (660) 947-7919
- NPI assigned
- Feb 15, 2016
- 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)
- No
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 2008025215 | MO | MD | Physical Therapy Assistant |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapy Assistant | 225200000X | 2008025215 | MO | Yes |
Addresses
Primary practice location
1926 Oak St
Unionville, MO 63565-1180
Mailing address
2213 Dewey St
Unionville, MO 63565-1434
Phone (660) 988-0864
Other names
- Alicia Smith
Other providers in Unionville, MO
- Adam Robinson
- David William Sinnwell
- Charles Dwight Taraba
- Tisha Lynn Thrall
- Sarah Christine Triplett
- Kevin B Vorkink
- Lee S Vorkink
- Wa Heffron III Chiropractic Clinic Inc
- Deborah K Wardlow
- Maurice J Warner
All providers in Unionville, MO · Physical Therapy Assistant in Missouri
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Feb 15, 2016. 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.