| Organization Name: | SPORTS AND PHYSICAL THERAPY CENTER |
| NPI Number: | 1770514879 |
| Entity Type Code: | Organizational (2) |
| Authorized Official Name: | SEAN C QUINN (PRESIDENT) |
| Mailing Address: | 322 N Central Ave Eureka |
| State: | MO US |
| Postal Code: | 630251826 |
| Phone Number: | 6369384065 |
| Fax Number: | 6369384067 |
| NPI Enumeration Date: | 07/06/2006 |
| NPI Last Update Date: | 12/04/2013 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 225100000X |
| License Number: | 2001005492 |
| 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 |