Organization Name: | SELECT PHYSICAL THERAPY OF BLUE SPRINGS LIMITED PARTNERSHIP |
NPI Number: | 1023078599 |
Entity Type Code: | Organizational (2) |
Authorized Official Name: | MICHAEL TARVIN (VICE PRESIDENT) |
Mailing Address: | 801 Nw Saint Mary Dr Ste 102 Blue Springs |
State: | MO US |
Postal Code: | 640142524 |
Phone Number: | 8162296622 |
Fax Number: | |
NPI Enumeration Date: | 03/27/2006 |
NPI Last Update Date: | 09/01/2010 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 261QR0400X |
License Number: | |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | |
Taxonomy Type: | Ambulatory Health Care Facilities |
Taxonomy Classification: | Clinic/Center |
Taxonomy Specialization: | Rehabilitation |
Taxonomy Definition: |