Individual
MRS. CONNIE COLLISON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PT, CBIS, MLD/CDT
Contact information
Practice address
105 S RIDGECREST AVE, NIXA, MO 65714-7807
(417) 724-3004
(417) 725-7373
Mailing address
105 S RIDGECREST AVE, NIXA, MO 65714-7807
(417) 724-3004
(417) 725-7373
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
2000161104
MO
Other
Enumeration date
08/01/2016
Last updated
08/01/2016
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