Individual
MACIE ELLEN MCNEELY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
4200 MERCHANT ST STE 103, COLUMBIA, MO 65203-5816
(573) 777-8783
Mailing address
20178 240TH ST, JAMESON, MO 64647-8135
(660) 605-0559
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
2025042948
MO
Other
Enumeration date
10/01/2025
Last updated
10/01/2025
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