Pro Fitness & Rehab LLC
Physical Therapist in Washington, MO. Organization (NPI-2).
NPI number1730831769
StatusActive
Last updated in NPPESMay 5, 2022
Details
- NPI
- 1730831769
- Entity type
- Organization (NPI-2)
- Legal business name
- Pro Fitness & Rehab LLC
- Organization subpart
- No
- Enumeration date
- Jan 20, 2022
- Certification date
- May 5, 2022
- Last updated
- May 5, 2022
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 225100000X | Physical Therapist | – | – | Yes |
Practice location
3021 Highway A Ste 102Washington, MO 63090-5498
Phone 636-234-5211
Mailing address
2460 Stonecrest DrWashington, MO 63090-5566
Authorized official
Jennifer Noelker
Managing Member/Owner
6362215188
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