Individual
BRAD WINTERLE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
410 W BENTON ST, MONETT, MO 65708-1608
(417) 235-6031
(417) 235-3039
Mailing address
845 E MEADOW GARDEN CT, NIXA, MO 65714-7667
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
2006009940
MO
Other
Enumeration date
06/22/2011
Last updated
06/22/2011
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