Individual
MRS. HEATHER L MADDOX
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PT/DPT
Contact information
Practice address
913 W BUS HIGHWAY 60, DEXTER, MO 63841-2704
(573) 624-6405
(573) 624-6314
Mailing address
913 WEST BUSINESS HWY 60 SELECT PHYSICAL THERAPY, DEXTER, MO 63841
(573) 624-6405
(573) 624-6314
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
2012017840
MO
Other
Enumeration date
08/16/2012
Last updated
01/10/2022
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