Organization
PHYSICAL THERAPY SPECIALIST CLINIC, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MARY HELEN SHEID PT, OCS (CEO)
(417) 256-5669
Entity
Organization
Contact information
Practice address
1480 W 8TH ST, WEST PLAINS, MO 65775-2010
(417) 256-5669
(417) 256-5699
Mailing address
1480 W 8TH ST, WEST PLAINS, MO 65775-2010
(417) 256-5669
(417) 256-5699
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
005362
MO
225100000X
Physical Therapist
01442
MO
225100000X
Physical Therapist
107429
MO
225100000X
Physical Therapist
Primary
2003016144
MO
225200000X
Physical Therapy Assistant
116745
MO
225200000X
Physical Therapy Assistant
2001031039
MO
225200000X
Physical Therapy Assistant
2006029256
MO
2255A2300X
Athletic Trainer
107041
MO
2255A2300X
Athletic Trainer
109647
MO
2255A2300X
Athletic Trainer
114070
MO
2255A2300X
Athletic Trainer
118541
MO
225X00000X
Occupational Therapist
2001033005
MO
225X00000X
Occupational Therapist
2003019075
MO
235Z00000X
Speech-Language Pathologist
115072
MO
235Z00000X
Speech-Language Pathologist
2006020966
MO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
31277
BC/BS OF MO
MO
01
—
336556
HEALTHLINK
MO
01
—
497721142SHE
PREMIER
MO
05
—
507432102
—
MO
01
—
792288
FIRST HEALTH
MO
01
—
973358
UNITED HEALTH CARE
MO
Enumeration date
06/09/2006
Last updated
09/26/2013
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