Organization
ROCK PRAIRIE WELLNESS CLINIC, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. ZACHARY ROBERT RUST DPT (OWNER)
(417) 818-4752
Entity
Organization
Contact information
Practice address
128 N GRAND PRAIRIE DR., WILLARD, MO 65781
(417) 818-4752
Mailing address
7571 W WYNWOOD DR, SPRINGFIELD, MO 65802-8414
(417) 818-4752
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
—
—
Other
Enumeration date
04/05/2025
Last updated
04/05/2025
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