Individual
IAN MCCLUSKEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
1100 VIRGINIA AVENUE, COLUMBIA, MO 65212-0001
(573) 884-0655
Mailing address
1100 VIRGINIA AVE, COLUMBIA, MO 65212-0001
(573) 884-0655
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
2024028567
MO
Other
Enumeration date
09/15/2025
Last updated
09/15/2025
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