Individual
SHAWN CLUTTER
Active
Sole proprietor
No
Provider details
NPI number
Gender
X
Contact information
Practice address
3827 W KAY POINTE BLVD, SPRINGFIELD, MO 65802-6735
(417) 708-1440
Mailing address
3827 W KAY POINTE BLVD, SPRINGFIELD, MO 65802-6735
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
—
—
Other
Enumeration date
09/10/2025
Last updated
09/10/2025
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