# HEALTHPRO PHYSICAL THERAPY LLC

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

## Provider details

- **NPI number:** 1689814329
- **Authorized official:** HEATHER MCCORMACK PT (OWNER)
- **Authorized official phone:** (573) 663-2500

## Contact information

- **Practice address:** 315 EAST WALNUT, ELLINGTON, MO 63638
- **Practice address phone:** (573) 663-2500
- **Mailing address:** PO BOX 580, ELLINGTON, MO 63638-0580
- **Mailing address phone:** (573) 663-2500

## Taxonomy

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

## Other

- **Enumeration date:** 02/20/2009
- **Last updated:** 10/23/2009
