Individual provider · NPI-1

Rissa Villareal Asis, PT

Physical Therapist · Joplin, MO

NPI number1306016217
StatusActive
Last updated in NPPESMar 6, 2008

Details

NPI
1306016217
Entity type
Individual (NPI-1)
Name
Ms. Rissa Villareal Asis
Credential
PT
Sex
Female
Sole proprietor
Yes
Enumeration date
Mar 6, 2008
Last updated
Mar 6, 2008

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
225100000X Physical Therapist2008005755MOYes

Practice location

214 W. 5th St.
Gmmpcpi
Joplin, MO 64801-2501

Phone 417-782-2917 · Fax 417-782-7038

Mailing address

214 W. 5th St.
Gmmpcpi
Joplin, MO 64801-2501

Phone 417-782-2917 · Fax 417-782-7038

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