Individual
MRS. ALYSSA FE HUMPHREY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PTA
Contact information
Practice address
1707 W ELFINDALE ST, SPRINGFIELD, MO 65807-1246
(417) 831-2273
Mailing address
1416 E 420TH RD, BOLIVAR, MO 65613-1197
(417) 599-8088
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
2015024324
MO
Other
Enumeration date
05/01/2023
Last updated
05/01/2023
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