Individual
JUSTIN CACKLEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
336 N MASSEY BLVD, NIXA, MO 65714-8307
(417) 725-0900
(417) 725-0903
Mailing address
336 N MASSEY BLVD, NIXA, MO 65714-8307
(417) 725-0900
(417) 725-0903
Taxonomy
Speciality
Code
Description
License number
State
237700000X
Hearing Instrument Specialist
Primary
HISIT2016023560
MO
Other
Enumeration date
07/20/2016
Last updated
07/20/2016
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