Individual
RACHEL LEIGH TOM
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PTA
Contact information
Practice address
1120 FALCON DR, KENNETT, MO 63857-3825
(573) 888-1150
Mailing address
401 STATE HIGHWAY 164, HORNERSVILLE, MO 63855-9704
(573) 559-9078
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
2016037473
MO
Other
Enumeration date
01/31/2018
Last updated
01/31/2018
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