# DOUTHARD PHYSICAL THERAPY LLC

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

## Provider details

- **NPI number:** 1730675885
- **Authorized official:** DR. TRACY LYNN DOUTHARD DMIN, PT (PHYSICAL THERAPIST)
- **Authorized official phone:** (417) 230-1662

## Contact information

- **Practice address:** 714 STATE HIGHWAY 248 STE 503, BRANSON, MO 65616-3761
- **Practice address phone:** (417) 230-1662
- **Mailing address:** 460 HIGHPOINTS RDG, BRANSON, MO 65616-7814
- **Mailing address phone:** (417) 230-1662

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 261QP2000X | Physical Therapy Clinic/Center | 2015002291 | MO | Yes |

## Other

- **Enumeration date:** 07/02/2018
- **Last updated:** 07/02/2018