Organization
ADVANCE PHYSICAL THERAPY & SPORTS MEDICINE OF LEWIS COUNTY LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
GREGORY REIS (PARTNER)
(217) 222-6800
Entity
Organization
Contact information
Practice address
1100 E OUTER RD S STE 1, CANTON, MO 63435-1701
(573) 288-3311
(573) 288-1223
Mailing address
1100 E OUTER RD S STE 1, PO BOX 244, CANTON, MO 63435-1701
(573) 288-3311
(573) 288-1223
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
—
—
Other
Enumeration date
08/09/2006
Last updated
08/22/2020
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