Individual
LOUIS LANDHUIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
402 N KEENE ST STE 101, COLUMBIA, MO 65201-6986
(573) 874-0001
Mailing address
3515 DANVERS DR, COLUMBIA, MO 65203-5617
(573) 489-4724
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
117164
LICENSE#
MO
Enumeration date
11/03/2006
Last updated
07/08/2007
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