| Organization Name: | CENTRAL METHODIST UNIVERISTY |
| NPI Number: | 1053680272 |
| Entity Type Code: | Organizational (2) |
| Authorized Official Name: | THOMAS M BUEHLER (ATHLETIC TRAINER) |
| Mailing Address: | 411 Central Methodist Sq Fayette |
| State: | MO US |
| Postal Code: | 652481104 |
| Phone Number: | 3086315364 |
| Fax Number: | |
| NPI Enumeration Date: | 12/16/2011 |
| NPI Last Update Date: | 12/16/2011 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 261QR0400X |
| License Number: | 2011025406 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | MO |
| Taxonomy Type: | Ambulatory Health Care Facilities |
| Taxonomy Classification: | Clinic/Center |
| Taxonomy Specialization: | Rehabilitation |
| Taxonomy Definition: | |