Individual
DAVIELLE JUSTINE MCCOY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PT, DPT
Contact information
Practice address
540 E YOUNG AVE, STE E, WARRENSBURG, MO 64093-1231
(660) 262-4795
(660) 747-0347
Mailing address
6397 LEE HWY STE 300, CHATTANOOGA, TN 37421-2564
(423) 238-7217
(423) 238-3473
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
2017026959
MO
Other
Enumeration date
05/11/2017
Last updated
07/21/2022
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