# POTENTIAL THERAPY SERVICES LLC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1104379353
- **Authorized official:** MR. TYLER R BROWN PT (OWNER)
- **Authorized official phone:** (573) 608-5058

## Contact information

- **Practice address:** 60 PLAZA DR, STE GENEVIEVE, MO 63670-1800
- **Practice address phone:** (573) 608-5058
- **Practice address fax:** (844) 912-8618
- **Mailing address:** 60 PLAZA DR, STE GENEVIEVE, MO 63670-1800
- **Mailing address phone:** (573) 608-5058
- **Mailing address fax:** (844) 912-8618

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 261QP2000X | Physical Therapy Clinic/Center | 2001001890 | MO | Yes |

## Other

- **Enumeration date:** 07/24/2016
- **Last updated:** 08/29/2022