Organization
SHOW ME PHYSICAL THERAPY LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
RANDY SHANE JOHNSON P.T. (OWNER)
(660) 723-4064
Entity
Organization
Contact information
Practice address
1870 COMMERCIAL STREET, WARSAW, MO 65355
(660) 723-4064
(949) 861-9331
Mailing address
17454 HENSLEY RD, WARSAW, MO 65355-5732
(660) 723-4064
(949) 861-9331
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
2005010779
MO
Other
Enumeration date
06/23/2016
Last updated
07/20/2016
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