Individual
GARY L WARD
Active
Sole proprietor
Provider details
NPI number
Gender
Man
Credential
ATC, PT
Contact information
Practice address
901 S NATIONAL AVE, MISSOURI STATE UNIVERSITY, SPRINGFIELD, MO 65804-0027
(417) 836-8553
Mailing address
5048 N FARM ROAD 185, SPRINGFIELD, MO 65803-8441
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
R0321
MO
2255A2300X
Athletic Trainer
000012
MO
Other
Enumeration date
08/29/2005
Last updated
09/11/2025
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