Individual
TANNER MURPHY PAYNE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
1 VETERANS DR., MEXICO, MO 65265
(573) 581-1088
Mailing address
9756 COUNTY ROAD 373, NEW BLOOMFIELD, MO 65063-2701
(573) 826-5306
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
2023042164
MO
Other
Enumeration date
10/27/2023
Last updated
10/27/2023
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