Individual
JONATHAN ALAN LATSHAW
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PT, DPT
Contact information
Practice address
800 HOSPITAL DR, COLUMBIA, MO 65201-5275
(573) 814-6540
Mailing address
800 HOSPITAL DR, COLUMBIA, MO 65201-5275
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
2023023176
MO
Other
Enumeration date
06/16/2023
Last updated
05/02/2024
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