Alicia Vestal, PTA
Physical Therapy Assistant in Unionville, MO. Individual provider (NPI-1).
NPI number1629437926
StatusActive
Last updated in NPPESFeb 15, 2016
Details
- NPI
- 1629437926
- Entity type
- Individual (NPI-1)
- Name
- Alicia Vestal
- Credential
- PTA
- Sex
- Female
- Sole proprietor
- Yes
- Enumeration date
- Feb 15, 2016
- Last updated
- Feb 15, 2016
Medicare and OIG
- Medicare enrolled (PECOS)
- Not in the Medicare enrollment file
- Can order and refer
- Not on the CMS order and referring list
- OIG exclusion list
- This NPI is not listed
CMS and OIG files of November 2026. PECOS lookup · OIG exclusion check
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 225200000X | Physical Therapy Assistant | 2008025215 | MO | Yes |
Other names
- Alicia Smith (Other Name)
Practice location
1926 Oak StUnionville, MO 63565-1180
Phone 660-947-7919
Mailing address
2213 Dewey StUnionville, MO 63565-1434
Phone 660-988-0864
Is something wrong?
This page shows exactly what the provider filed with NPPES. Only the provider (or their surrogate) can change it, by signing in to NPPES. Our page updates within a day of their change. See how to update NPI information.
Other Physical Therapy Assistant providers in Unionville, MO
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