Individual
HEATHER MCCOY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PTA
Contact information
Practice address
1131 E LAKEWOOD ST, SPRINGFIELD, MO 65810-2471
(417) 827-5756
Mailing address
2044 E ELM ST, SPRINGFIELD, MO 65802-2921
(417) 827-5756
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
2010032229
MO
Other
Enumeration date
03/10/2023
Last updated
03/10/2023
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