Individual
ADDISON HALSTEAD
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
54 HOSPITAL DR, OSAGE BEACH, MO 65065-3050
(573) 348-8000
Mailing address
1443 TANNER CT, LEBANON, MO 65536-3915
(319) 461-8643
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
114276
IA
Other
Enumeration date
08/25/2022
Last updated
06/02/2025
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