# MID-MISSOURI PELVIC HEALTH, LLC

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

## Provider details

- **NPI number:** 1265217574
- **Authorized official:** JENNIFER DICKINSON PT (OWNER)
- **Authorized official phone:** (660) 851-3352

## Contact information

- **Practice address:** 201 E 6TH ST, SEDALIA, MO 65301-4512
- **Practice address phone:** (660) 851-3352
- **Mailing address:** 16497 SALINE 127 HWY, SWEET SPRINGS, MO 65351-3149

## Taxonomy

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

## Other

- **Enumeration date:** 08/28/2023
- **Last updated:** 08/28/2023