Individual
LISA R MOUSER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DPT
Contact information
Practice address
410 W MAIN ST, JACKSON, MO 63755-1980
(573) 755-2302
(573) 243-0994
Mailing address
1701 LACEY ST, CAPE GIRARDEAU, MO 63701-5230
(573) 334-4822
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
2018003414
MO
Other
Enumeration date
09/13/2023
Last updated
09/13/2023
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