Organization
PHYSICAL THERAPY OF CONCORDIA INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
KATHLEEN A COOPER MPT (PRESIDENT, PT)
(660) 463-2588
Entity
Organization
Contact information
Practice address
607 SOUTH MAIN STREET, SUITE A, CONCORDIA, MO 64020
(660) 463-2588
(660) 463-2589
Mailing address
607 SOUTH MAIN STREET, SUITE A, CONCORDIA, MO 64020
(660) 463-2588
(660) 463-2589
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
01604
MO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
34249011
BCBSKC
MO
Enumeration date
06/20/2006
Last updated
07/21/2022
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