Individual
EMILY ELLIOTT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1625 GIBSON ST, WEST PLAINS, MO 65775-1873
(417) 255-9577
Mailing address
1625 GIBSON ST, WEST PLAINS, MO 65775-1873
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
2003025416
MO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
488328808
—
MO
Enumeration date
02/09/2007
Last updated
07/06/2015
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