NPI 1003060104

Calvin James Canine, PT

Practitioner Physical Therapist Mexico, MO

Practice location

Address: 2759 S Clark St Suite a, Mexico, MO 65265-3720
Phone: (573) 581-1880

Registered specialties

Physical Therapist Primary

Respiratory, Developmental, Rehabilitative and Restorative Service Providers Taxonomy 225100000X Licence 00573 (MO)

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Registry record

NPI: 1003060104
Entity type: Individual
Sex (as registered): Male
NPI issued: 17 Nov 2008
Record last updated: 22 Jul 2016

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.