Individual
LISA STANKEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PT
Contact information
Practice address
402 KEENE ST, COLUMBIA, MO 65201-6986
(573) 874-0001
Mailing address
402 KEENE ST, COLUMBIA, MO 65201-6986
(573) 874-0001
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
2008005513
MO
Other
Enumeration date
01/21/2008
Last updated
04/20/2009
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