# PHOENIX THERAPY SERVICES, LLC

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

## Provider details

- **NPI number:** 1821614553
- **Authorized official:** MR. SCOTT HARNDEN (DIRECTOR OF THERAPY SERVICES)
- **Authorized official phone:** (913) 967-9820

## Contact information

- **Practice address:** 1839 E INDEPENDENCE ST STE K, SPRINGFIELD, MO 65804-3753
- **Practice address phone:** (417) 881-7442
- **Mailing address:** 3033 S KANSAS EXPY, SPRINGFIELD, MO 65807-5969
- **Mailing address phone:** (417) 881-7442

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 261QP2000X | Physical Therapy Clinic/Center | — | NULL | Yes |
| 363L00000X | Nurse Practitioner | — | NULL | — |
| 363L00000X | Nurse Practitioner | — | — | — |

## Other

- **Enumeration date:** 06/18/2020
- **Last updated:** 03/08/2021
