# THRIVE PHYSICAL THERAPY, LLC

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

## Provider details

- **NPI number:** 1568029148
- **Authorized official:** THOMAS G. JOHNSTON P.T. (PRESIDENT)
- **Authorized official phone:** (660) 676-8187

## Contact information

- **Practice address:** 417 E URBANDALE DR, MOBERLY, MO 65270-1936
- **Practice address phone:** (660) 676-8187
- **Mailing address:** 417 E URBANDALE DR, MOBERLY, MO 65270-1936
- **Mailing address phone:** (606) 372-1417
- **Mailing address fax:** (660) 372-1451

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 225100000X | Physical Therapist | — | NULL | — |
| 225100000X | Physical Therapist | — | — | — |
| 261QP2000X | Physical Therapy Clinic/Center | — | NULL | Yes |

## Other

- **Enumeration date:** 05/20/2019
- **Last updated:** 09/09/2024