Organization Name: | AXES PHYSICAL THERAPY, LLC |
NPI Number: | 1003280421 |
Entity Type Code: | Organizational (2) |
Authorized Official Name: | JOHN B TEEPE (PRESIDENT) |
Mailing Address: | 109 Vierse Dr Farmington |
State: | MO US |
Postal Code: | 636401323 |
Phone Number: | 5737562793 |
Fax Number: | 5737562939 |
NPI Enumeration Date: | 11/23/2015 |
NPI Last Update Date: | 05/13/2016 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 261QP2000X |
License Number: | |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | MO |
Taxonomy Type: | Ambulatory Health Care Facilities |
Taxonomy Classification: | Clinic/Center |
Taxonomy Specialization: | Physical Therapy |
Taxonomy Definition: |