Individual
ALYSSA HEADRICK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DPT
Contact information
Practice address
1229 WENTZVILLE PKWY STE 209, WENTZVILLE, MO 63385-3553
(636) 730-1118
Mailing address
1305 LAKEWAY DR, DEFIANCE, MO 63341-1432
(314) 941-1016
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
2025028429
MO
Other
Enumeration date
07/11/2025
Last updated
07/11/2025
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