Organization
THERAPEUTIC HORSEMANSHIP
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. SHELLY LOUISE NANNEY (EXECUTIVE ASSISTANT)
(636) 332-4940
Entity
Organization
Contact information
Practice address
332 STABLE LN, WENTZVILLE, MO 63385-5447
(636) 332-4940
(636) 332-4941
Mailing address
332 STABLE LN, WENTZVILLE, MO 63385-5447
(636) 332-4940
(636) 332-4941
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
—
—
225X00000X
Occupational Therapist
—
—
235Z00000X
Speech-Language Pathologist
—
—
251V00000X
Voluntary or Charitable Agency
Primary
—
—
Other
Enumeration date
02/16/2007
Last updated
08/27/2009
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