Organization
TYPALDOS PHYSICAL THERAPY AND REHABILITATION CENTER INC
Active
Other names
Physical Therapy Center
Organization subpart
No
Provider details
NPI number
Authorized official
JOHN M TYPALDOS PT (PRESIDENT ADMINISTRATOR)
(417) 725-5774
Entity
Organization
Contact information
Practice address
1887 N STATE HIGHWAY CC, NIXA, MO 65714-8015
(417) 725-5774
(417) 725-5915
Mailing address
1887 N STATE HIGHWAY CC, NIXA, MO 65714-8015
(417) 725-5774
(417) 725-5915
Taxonomy
Speciality
Code
Description
License number
State
261QP2000X
Physical Therapy Clinic/Center
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
576215701
—
MO
Enumeration date
10/25/2005
Last updated
11/13/2013
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