Organization
INTEGRATED THERAPY SERVICES LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. GRANT COLLINS MPT (OWNER)
(573) 712-2696
Entity
Organization
Contact information
Practice address
2166 N WESTWOOD BLVD, POPLAR BLUFF, MO 63901-2440
(573) 712-2696
(573) 712-2991
Mailing address
2166 N WESTWOOD BLVD, POPLAR BLUFF, MO 63901-2440
(573) 712-2696
(573) 712-2991
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
2008020468
MO
Other
Enumeration date
12/30/2013
Last updated
04/01/2014
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