Doctor Name: | SEAN LEONARD MASSA |
NPI Number: | 1386715118 |
Entity Type Code: | Individual (1) |
Gender: | M |
Credentials: | PT |
License Number: | 2001007512 |
Business Practice Address: | 300 N Morley St Ste I Moberly, MO - 652702334 |
Business Phone Number: | 6602636223 |
Business Fax Number: | 6602636224 |
Mailing Address: | 300 N Morley St Ste I, MOBERLY |
State: | MO |
Postal Code: | 652702334 |
Phone Number: | 6602636223 |
Fax Number: | 6602636224 |
NPI Enumeration Date: | 11/13/2006 |
NPI Last Update Date: | 07/08/2007 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 225100000X |
License Number: | 2001007512 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | MO |
Taxonomy Type: | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
Taxonomy Classification: | Physical Therapist |
Taxonomy Specialization: | |
Taxonomy Definition: | (1) Physical therapists are health care professionals who evaluate and treat people with health problems resulting from injury or disease. PT |