Gary Ryan Snelling, PTA
Individual provider Active NPI Physical Therapy Assistant · Milan, MO
NPI 1750655239 · NPPES record last updated Mar 1, 2012
Key facts
- NPI
- 1750655239
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Physical Therapy Assistant 225200000X
- License
- 2011029467 (MO)
- Practice address
- 52435 Infirmary Rd
Milan, MO 63556-2874 - Phone
- (660) 265-4032
- NPI assigned
- Mar 1, 2012
- Sex
- Male
- 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
| License | State | Type | Specialty |
|---|---|---|---|
| 2011029467 | MO | MD | Physical Therapy Assistant |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapy Assistant | 225200000X | 2011029467 | MO | Yes |
Addresses
Primary practice location
52435 Infirmary Rd
Milan, MO 63556-2874
Mailing address
52435 Infirmary Rd
Milan, MO 63556-2874
Phone (660) 265-4032
Other providers in Milan, MO
- Qmi LLC
- Kenneth Richards
- Rolling Hills Residential Care Facility, LLC
- Alexis Roman
- School Dist 2 Milan
- Katelin Rae Spratt I
- Kailee Stephenson
- Stover'S Residential Care Facility
- Sullivan County Ambulance District
- Sullivan County Health Department
All providers in Milan, 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 Mar 1, 2012. 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.