| Organization Name: | CENTRAL MISSOURI PHYSICAL THERAPY |
| NPI Number: | 1215982095 |
| Entity Type Code: | Organizational (2) |
| Authorized Official Name: | PHILLIP JOSEPH SMITH (PHYSICAL THERAPIST OWNER) |
| Mailing Address: | 300 N Morley St Ste I Suite I Moberly |
| State: | MO US |
| Postal Code: | 652702334 |
| Phone Number: | 6602636223 |
| Fax Number: | |
| NPI Enumeration Date: | 05/23/2006 |
| NPI Last Update Date: | 08/04/2008 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 261QP2000X |
| License Number: | 2001024950 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | MO |
| Taxonomy Type: | Ambulatory Health Care Facilities |
| Taxonomy Classification: | Clinic/Center |
| Taxonomy Specialization: | Physical Therapy |
| Taxonomy Definition: | |