Organization
CENTRAL PHYSICAL REHABILITATION AND SPORTS MEDICINE, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
SHAWN ROACH (OWNER)
(660) 429-4700
Entity
Organization
Contact information
Practice address
407 E RUSSELL AVE BLDG A, SUITE 6, WARRENSBURG, MO 64093-1242
(660) 429-4700
(660) 429-0500
Mailing address
407 E RUSSELL AVE BLDG A, SUITE 6, WARRENSBURG, MO 64093-1242
(660) 429-4700
(660) 429-0500
Taxonomy
Speciality
Code
Description
License number
State
261QP2000X
Physical Therapy Clinic/Center
Primary
—
—
Other
Enumeration date
03/14/2007
Last updated
09/09/2011
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