Individual
BAYLEE RYAN LESTER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
3710 S LENOIR ST, COLUMBIA, MO 65201-5463
(573) 876-5800
Mailing address
109 E SIMS ST, CENTRALIA, MO 65240-1564
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
2019039390
MO
Other
Enumeration date
02/03/2022
Last updated
02/03/2022
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