Individual
DAVID K. METZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PT
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
111654
MO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
154652
BLUE CROSS
MO
01
—
431935510 65804 A001
TRICARE
MO
Enumeration date
01/19/2007
Last updated
01/10/2008
Update your record
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