Organization
DOUTHARD PHYSICAL THERAPY LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. TRACY LYNN DOUTHARD DMIN, PT (PHYSICAL THERAPIST)
(417) 230-1662
Entity
Organization
Contact information
Practice address
714 STATE HIGHWAY 248 STE 503, BRANSON, MO 65616-3761
(417) 230-1662
Mailing address
460 HIGHPOINTS RDG, BRANSON, MO 65616-7814
(417) 230-1662
Taxonomy
Speciality
Code
Description
License number
State
261QP2000X
Physical Therapy Clinic/Center
Primary
2015002291
MO
Other
Enumeration date
07/02/2018
Last updated
07/02/2018
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