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CALLIE RAE HUMPHREY

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
PTA

Contact information

Practice address
54 HOSPITAL DR, OSAGE BEACH, MO 65065-3050
(573) 348-8000
Mailing address
54 HOSPITAL DR, OSAGE BEACH, MO 65065-3050

Taxonomy

Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
20244022730
MO

Other

Enumeration date
06/17/2024
Last updated
12/23/2025
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