Individual
MR. SHAWN KEVIN ROACH
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
R.P.T
Contact information
Practice address
407 E RUSSELL AVE, BLDG A STE 6, WARRENSBURG, MO 64093-1242
(660) 429-4700
Mailing address
407 E RUSSELL AVE, BLDG A STE 6, WARRENSBURG, MO 64093-1242
(660) 429-4700
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
02018
MO
Other
Enumeration date
06/22/2006
Last updated
10/25/2007
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