Chris Middlebusher
Individual provider Active NPI Physical Therapist · Albany, MO
NPI 1851736623 · NPPES record last updated May 7, 2013
Key facts
- NPI
- 1851736623
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Physical Therapist 225100000X
- License
- 104727 (MO)
- Practice address
- 705 N College St
Albany, MO 64402-1433 - Phone
- (660) 726-3941
- Fax
- (660) 726-3647
- NPI assigned
- May 7, 2013
- 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)
- Yes
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 104727 | MO | MD | Physical Therapist |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapist | 225100000X | 104727 | MO | Yes |
Addresses
Primary practice location
705 N College St
Albany, MO 64402-1433
Mailing address
705 N College St
Albany, MO 64402-1433
Phone (660) 726-3941
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 104727 | Other | MO | LICENSE |
Other providers in Albany, MO
- Hy-Vee Inc
- JM Healthcare, PC
- Kari a O'Neal LLC
- Megan Marie Luke
- Angelia D. Martin
- Jackie S Miller
- MLT Services LLC
- MLT Services LLC
- New Trails LLC
- Northwest Health Services Inc
All providers in Albany, 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 7, 2013. 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.