Individual
MR. JOHN M TYPALDOS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
RPT
Contact information
Practice address
1887 N STATE HIGHWAY CC, NIXA, MO 65714-8015
(417) 725-5774
(417) 725-5915
Mailing address
1887 N STATE HIGHWAY CC, NIXA, MO 65714-8015
(417) 725-5774
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
00849
MO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
576215701
—
MO
05
—
732515001
—
MO
Enumeration date
10/26/2005
Last updated
04/13/2023
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