Mid Missouri Physical Therapy
Organization Active NPI Physical Therapist · Macon, MO
NPI 1891908612 · NPPES record last updated Jul 17, 2009
Key facts
- NPI
- 1891908612
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Physical Therapist 225100000X
- License
- 02103 (MO)
- Legal business name
- MID MISSOURI PHYSICAL THERAPY
- Practice address
- 2005 N. Missouri St.
Suite D
Macon, MO 63552-0381 - Phone
- (660) 385-6540
- Fax
- (660) 385-6542
- NPI assigned
- May 8, 2007
- Organization subpart
- No
Authorized official
- Name
- Paul Vincent Lane, P.T.
- Title
- Ceo
- Phone
- (660) 385-6540
Practitioners 8
-
Janet C Ancell, OTR
-
Lindsey Lee Clinton, MPT
-
Ronald L Danielson Jr., MPT, MS
-
Lara Beth Jones, MPT
-
Abby M Lane, P.T.
-
Paul Vincent Lane, P.T.
-
Gayla E Wood, P.T.A
National Provider Directory
Locations
2005 N Missouri St
Ste D
Macon, MO 63552
Phone (660) 385-6540
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapist |
225100000X | 02103 | MO | Yes |
Addresses
Primary practice location
2005 N. Missouri St.
Suite D
Macon, MO 63552-0381
Mailing address
PO Box 381
Macon, MO 63552-0381
Phone (660) 385-6540
Other providers in Macon, MO
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jul 17, 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.