Organization
FOUNDATIONS THERAPY LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JEREMIAH KENT SHULL (OWNER)
(573) 821-0724
Entity
Organization
Contact information
Practice address
536 S BUSINESS HIGHWAY 13, LEXINGTON, MO 64067-1438
(573) 821-0274
Mailing address
36 ARROWHEAD DR, LEXINGTON, MO 64067-2100
(573) 821-0274
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
—
—
Other
Enumeration date
02/20/2019
Last updated
02/20/2019
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