Individual
JEANNA MICHELLE THOMAS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
DPT
Contact information
Practice address
1600 N 2ND ST, CLINTON, MO 64735-1192
(660) 890-7190
Mailing address
1600 N 2ND ST, CLINTON, MO 64735-1192
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
2011018655
MO
Other
Enumeration date
08/03/2011
Last updated
08/03/2011
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