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Barry Keith Hale, PTA

Physical Therapy Assistant in Osage Beach, MO. Individual provider (NPI-1).

NPI number1437756608
StatusActive
Last updated in NPPESOct 1, 2020

Details

NPI
1437756608
Entity type
Individual (NPI-1)
Name
Barry Keith Hale
Credential
PTA
Sex
Male
Sole proprietor
Yes
Enumeration date
Oct 1, 2020
Certification date
Sep 24, 2020
Last updated
Oct 1, 2020

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
225200000X Physical Therapy Assistant2005019942MOYes

Practice location

54 Hospital Dr
Osage Beach, MO 65065-3050

Phone 573-348-8000

Mailing address

54 Hospital Dr
Osage Beach, MO 65065-3050

Phone 573-348-8000

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