Organization Name: | TYPALDOS PHYSICAL THERAPY AND REHABILITATION CENTER INC |
NPI Number: | 1336139989 |
Entity Type Code: | Organizational (2) |
Authorized Official Name: | JOHN M TYPALDOS (PRESIDENT ADMINISTRATOR) |
Mailing Address: | 1887 N State Highway Cc Nixa |
State: | MO US |
Postal Code: | 657148015 |
Phone Number: | 4177255774 |
Fax Number: | 4177255915 |
NPI Enumeration Date: | 10/25/2005 |
NPI Last Update Date: | 11/13/2013 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 261QP2000X |
License Number: | |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | |
Taxonomy Type: | Ambulatory Health Care Facilities |
Taxonomy Classification: | Clinic/Center |
Taxonomy Specialization: | Physical Therapy |
Taxonomy Definition: |