Individual
MATTHEW RYAN LEONARD
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DPT, DC
Contact information
Practice address
1043 E OSAGE ST, PACIFIC, MO 63069-1710
(636) 356-5557
Mailing address
1043 E OSAGE ST, PACIFIC, MO 63069-1710
(636) 356-5557
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
2007011959
MO
225100000X
Physical Therapist
Primary
2014027087
MO
Other
Enumeration date
05/10/2007
Last updated
09/13/2016
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