Individual
DAWN M STANDLEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PT, DPT
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
01853
MO
225100000X
Physical Therapist
Primary
PTH8745
AL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000025407
MEDICARE PTAN
MO
05
—
483367413
—
MO
Enumeration date
04/26/2006
Last updated
04/30/2019
Update your record
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