Individual
AUSTIN M SHROUT
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PT
Contact information
Practice address
1135 E NORTH AVE, BELTON, MO 64012-5105
(816) 331-9111
(816) 348-0492
Mailing address
PO BOX 320, BELTON, MO 64012-0320
(816) 331-9111
(816) 348-0492
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
2021020572
MO
Other
Enumeration date
06/07/2021
Last updated
06/07/2021
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