Individual
MANDY JOLENE SCHLESSELMANN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PT, ATC
Contact information
Practice address
1887 N HWY CC, NIXA, MO 65714-8015
(417) 725-5774
Mailing address
1887 N HWY CC, NIXA, MO 65714-8015
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
2005019093
MO
225100000X
Physical Therapist
PT 36445
CA
2255A2300X
Athletic Trainer
2004022186
MO
Other
Enumeration date
03/16/2007
Last updated
05/09/2014
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