Organization
OZARK PHYSICAL THERAPY, LLP
Active
Organization subpart
No
Provider details
NPI number
Authorized official
AUSTIN R TINSLEY IV (PARTNER)
(573) 686-4209
Entity
Organization
Contact information
Practice address
2725 N WESTWOOD BLVD, SUITE 17, POPLAR BLUFF, MO 63901-2346
(573) 686-5510
(573) 686-6846
Mailing address
2725 N WESTWOOD BLVD, SUITE 17, POPLAR BLUFF, MO 63901-2346
(573) 686-5510
(573) 686-6846
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
146356
BLUE CROSS BLUE SHIELD
MO
01
—
4630980001
DME NUMBER
MO
Enumeration date
02/03/2006
Last updated
02/13/2017
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