Organization
SELECT PHYSICAL THERAPY OF BLUE SPRINGS LIMITED PARTNERSHIP
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MICHAEL E TARVIN (VICE PRESIDENT)
(717) 972-1100
Entity
Organization
Contact information
Practice address
425 NE MOCK AVE, BLUE SPRINGS, MO 64014
(816) 229-9640
(816) 229-9610
Mailing address
4714 GETTYSBURG RD, MECHANICSBURG, PA 17055-4325
(717) 972-1100
(717) 975-9781
Taxonomy
Speciality
Code
Description
License number
State
261QP2000X
Physical Therapy Clinic/Center
Primary
—
MO
261QR0400X
Rehabilitation Clinic/Center
—
—
Other
Enumeration date
06/25/2006
Last updated
09/02/2010
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