Organization
PROACTIVE PHYSICAL THERAPY AND SPORTS PERFORMANCE LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
CLINTON ERIC SINGLETON DPT (OWNER, DOCTOR OF PHYSICAL THERAPY)
(660) 973-7364
Entity
Organization
Contact information
Practice address
623 S WASHINGTON STREET, CHILLICOTHE, MO 64601
(660) 973-7364
Mailing address
623 SOUTH WASHINGTON STREET, PO BOX 115, CHILLICOTHE, MO 64601
(660) 973-7364
Taxonomy
Speciality
Code
Description
License number
State
261QP2000X
Physical Therapy Clinic/Center
Primary
—
—
Other
Enumeration date
06/05/2024
Last updated
06/05/2024
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