Individual
MR. COURTNEY R HULETT
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PT
Contact information
Practice address
54 HOSPITAL DR, OSAGE BEACH, MO 65065-3050
(573) 346-7445
Mailing address
164 CEDAR GLEN DR UNIT 2D, CAMDENTON, MO 65020-5625
(573) 346-7445
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
118675
MO
Other
Enumeration date
03/19/2007
Last updated
07/08/2007
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