Individual
LOUIS MICHAEL DAVIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PT, DPT
Contact information
Practice address
509 S BROADWAY, OAK GROVE, MO 64075-8104
(816) 625-4967
(816) 625-8376
Mailing address
1200 CORPORATE DR STE 400, BIRMINGHAM, AL 35242-5424
(423) 238-7217
(423) 238-3473
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
2017018606
MO
Other
Enumeration date
05/03/2017
Last updated
12/01/2020
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