| Doctor Name: | MR. JOHN ROSS RAY |
| NPI Number: | 1154597524 |
| Entity Type Code: | Individual (1) |
| Gender: | M |
| Credentials: | PT |
| License Number: | 2000150904 |
| Business Practice Address: | 1114 W Jackson St Ozark, MO - 657219164 |
| Business Phone Number: | 4175811234 |
| Business Fax Number: | 8885503518 |
| Mailing Address: | 1114 W Jackson St, OZARK |
| State: | MO |
| Postal Code: | 657219164 |
| Phone Number: | 4175811234 |
| Fax Number: | 8885503518 |
| NPI Enumeration Date: | 05/05/2008 |
| NPI Last Update Date: | 05/11/2015 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 2251G0304X |
| License Number: | 2000150904 |
| Healthcare Provider Taxonomy: (Secondary) | N |
| State: | MO |
| Taxonomy Type: | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| Taxonomy Classification: | Physical Therapist |
| Taxonomy Specialization: | Geriatrics |
| Taxonomy Definition: | |