Individual
CARSON RAY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DPT
Contact information
Practice address
1839 E INDEPENDENCE ST STE R, SPRINGFIELD, MO 65804-3753
(517) 441-7708
Mailing address
1274 WILLOW CIR, REPUBLIC, MO 65738-6009
(417) 860-3520
Taxonomy
Speciality
Code
Description
License number
State
2251X0800X
Orthopedic Physical Therapist
Primary
2023023321
MO
Other
Enumeration date
04/25/2025
Last updated
04/25/2025
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