Individual
MICHELLE LEE ELROD
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PTA
Contact information
Practice address
1800 WHITE COLUMNS DR, ROLLA, MO 65401-2044
(573) 364-7766
Mailing address
14709 MARIES ROAD 518, VICHY, MO 65580-7166
(573) 578-9599
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
2014011839
MO
Other
Enumeration date
08/26/2019
Last updated
08/26/2019
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