Individual
MARY L RAKESTRAW
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RPT
Contact information
Practice address
HC 65 BOX 6, WESTPHALIA, MO 65085-9702
(615) 896-6400
Mailing address
PO BOX 228, WESTPHALIA, MO 65085-0228
(615) 896-6400
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
2008019808
MO
Other
Enumeration date
08/22/2008
Last updated
08/22/2008
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