NPI 1003904079

Missouri State University PT Clinic

Organisation Physical Therapy Clinic/Center Springfield, MO

Practice location

Address: 606 E Cherry St Room 100, Springfield, MO 65806-3401
Phone: (417) 836-3070
Mailing address: 901 S National Ave, Springfield, MO 65897-0027

Authorised official

Name: Michael Vere Halliday
Title: Clinic Director
Phone: (417) 836-3070

Registered specialties

Physical Therapy Clinic/Center Primary

Ambulatory Health Care Facilities Taxonomy 261QP2000X

Other Clinic/Center providers in Missouri →

Registry record

NPI: 1003904079
Entity type: Organization
NPI issued: 11 Oct 2006
Record last updated: 22 Aug 2020

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.