Organization
MIDWEST PHYSICAL THERAPY, PC
Active
Other names
Mid-America Physical Therapy, Mid America Physical Therapy
Organization subpart
No
Provider details
NPI number
Authorized official
MAURY DUNCAN ALLEN PT (OWNER)
(877) 870-4976
Entity
Organization
Contact information
Practice address
1926 OAK ST, UNIONVILLE, MO 63565-1180
(877) 870-4976
(866) 581-7732
Mailing address
PO BOX 30110, COLUMBIA, MO 65205-3110
(877) 870-4976
(866) 581-7732
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
20000174328
MO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
485883813
—
MO
Enumeration date
12/08/2006
Last updated
11/10/2023
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