Individual
CASSIDY LEE WOOD ACEVEDO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PT, DPT
Contact information
Practice address
148 PROFESSIONAL PKWY, TROY, MO 63379-2823
(636) 356-1142
Mailing address
147 BROOKSHIRE CREEK DR, WENTZVILLE, MO 63385-5594
(636) 497-6488
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
2025037747
MO
Other
Enumeration date
09/02/2025
Last updated
09/02/2025
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