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Individual

ASHLEY LYON

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
DPT

Contact information

Practice address
2012 E NIFONG BLVD, COLUMBIA, MO 65201-3874
(573) 449-1246
Mailing address
703 RUTLAND DR, COLUMBIA, MO 65203-5146
(660) 216-1019

Taxonomy

Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
2020016523
MO
2255A2300X
Athletic Trainer
2017004555
MO

Other

Enumeration date
07/09/2020
Last updated
07/09/2020
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