Organization
GREEN HILLS PHYSICAL THERAPY & ASSOCIATES, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MICHELE LYN WILLIAMS PT (CO-OWNER)
(660) 265-3055
Entity
Organization
Contact information
Practice address
203 E 2ND ST, MILAN, MO 63556-1333
(660) 265-3055
(660) 445-2065
Mailing address
203 E 2ND ST, MILAN, MO 63556-1333
(660) 265-3055
(660) 445-2065
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
R1095
MO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
12202900
DEPARTMENT OF LABOR
MO
01
—
144035
BLUE CROSS BLUE SHIELD
MO
01
—
460774
HEALTHLINK
MO
01
—
64-00300
UNITED HEALTHCARE
MO
01
—
7385154
AETNA
MO
01
—
DA4224
RAILROAD MEDICARE
MO
Enumeration date
11/19/2007
Last updated
12/12/2012
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