Individual
JORDAN LEE PASLEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1100 N KENTUCKY AVE, WEST PLAINS, MO 65775-2029
(417) 257-5959
Mailing address
604 SHUTTEE ST, WEST PLAINS, MO 65775-2904
(573) 561-4979
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
2017036599
MO
Other
Enumeration date
03/29/2023
Last updated
03/29/2023
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