Individual
DEREK SCOTT PARKER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PT
Contact information
Practice address
1432 SOUTHWEST BLVD, JEFFERSON CITY, MO 65109-2444
(573) 632-5440
Mailing address
PO BOX 1128, JEFFERSON CITY, MO 65102-1128
(573) 632-5440
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
2007023622
MO
Other
Enumeration date
06/04/2020
Last updated
06/04/2020
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