Individual
ROGER ALAN MAYLE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
LPTA
Contact information
Practice address
202 E MILL ST, HUMANSVILLE, MO 65674-8507
(417) 754-1601
(417) 754-1602
Mailing address
202 E MILL ST, HUMANSVILLE, MO 65674
(417) 754-1601
(417) 754-1602
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
115385
MO
Other
Enumeration date
06/28/2010
Last updated
06/28/2010
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