Organization
DYNAMIC PHYSICAL THERAPY AND SPORTS PERFORMANCE
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. PATRICIA A MARTINEZ (BILLING MANAGER)
(417) 894-3948
Entity
Organization
Contact information
Practice address
16914 STATE HIGHWAY 13, BRANSON WEST, MO 65737-9670
(417) 272-3909
(417) 272-3918
Mailing address
PO BOX 261, KIMBERLING CITY, MO 65686-0261
(417) 272-3909
(417) 272-3918
Taxonomy
Speciality
Code
Description
License number
State
261QP2000X
Physical Therapy Clinic/Center
Primary
—
—
Other
Enumeration date
03/31/2022
Last updated
04/05/2022
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