Organization
FRONT DOOR WELLNESS LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
AMY MANCHESTER PT (SOLE MEMBER)
(573) 429-0784
Entity
Organization
Contact information
Practice address
FRONT DOOR WELLNESS LLC, 5835 QUAIL MEADOWS DRIVE, POPLAR BLUFF, MO 63901
(573) 429-0784
Mailing address
FRONT DOOR WELLNESS LLC, 5835 QUAIL MEADOWS DRIVE, POPLAR BLUFF, MO 63901
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
—
—
Other
Enumeration date
12/09/2019
Last updated
12/09/2019
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