Organization
OZARK WELLNESS & ATHLETIC CLUB
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. AUSTIN TINSLEY IV (OWNER)
(573) 614-5644
Entity
Organization
Contact information
Practice address
1521 W BUS. HWY. 60, DEXTER, MO 63841
(573) 614-5644
(573) 624-9223
Mailing address
1521 W BUS. HWY. 60, DEXTER, MO 63841
(573) 614-5644
(573) 624-9223
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
—
—
Other
Enumeration date
10/12/2009
Last updated
10/12/2009
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